A Case of Rheumatic Tricuspid Stenosis 22 Years after Initial Mitral Valve Replacement
Yasuyuki Kato Fumitaka Isobe Sakashi Noji
Yasuyuki Sasaki Kojiro Kodera Takumi Ishikawa
Yoshiei Shimamura Hiroshi Kumano Keima Nagamachi
Masahiro Daimon

(Department of Cardiovascular Surgey, Osaka National Hospital, Osaka, Japan)

Rheumatic tricuspid stenosis has become rare recently. A 54-year-old woman had undergone mitral valve replacement with a Carpentier-Edwards bioprosthesis for mitral stenodis 22 years previously and had undergone repeat mitral valve replacement for prosthetic valve failure 10 years later. She was admitted with sever leg edema. Cardiac catheterization revealed pulmonary hypertension and tricuspid stenosis with a diastolic pressure grandient of 6 mmHg across the tricuspid valve. Tricuspid valve replacement was performed with a Hancock bioprosthesis. The postoperative course was uneventful and her edema improved markedly. This case suggested that careful follow-up to detect progression of tricuspid stenosis is necessary in patients with rheumatic valve disease and pulmonary hypertension.
@Jpn. J. Cardiovasc. Surg. 29: 378-381 (2000)