Tricuspid_regurgitation_٢٠٢٥_٠١_٠٢_٢١_٢٨_250102213959.pdf

Tricuspid regurgitation

1. Tricuspid
regurgitation
cuseas
primary
1. Carcinoid Syndrom
2. Trauma radiation
3. Rheumatic
4. Ebstein anomaly
5. infective endocarditis
secondary
any Cause result in Right Ventricular anular dilation
as
1. Rt. Ventricular dilatation Post MI
2. AF
3. Sever pulm. HTN For long time
4.left ventricular Cardiomyopathy
pathology
Rt. Ventricular dilatation → hypertrophy with poor
compliance of Rt. Vent. → Sever
Case
Notes
DDx of Reversed splitting 2nd heart Sound
- Patent ductus arteriosis
- Left BBB
- hypertrophic Cardiomyopathy.
- Sever AS
- white Von Willbrand syndrom (WVS Syndran)
Type B
Treatment
Surgical replacement but in Case of
may use repair
Symptans
will appear as Rt. Sided heart Failure
by auscultation
pansystolic murmur in [ 4th, 3rd intercostal Space]
increase during inspiration
- neek veins pulsatil
-pulsatil Liver
NB: in case of MR : Pansystolic murmur related to
the axilta
# if Sever TR → dilatation anular of Rt. Ventricler
more than 4 cm
Quiz ال ةلئسأ
mention signs of AR?
DDx & Ejectim systolic murmur 2
DDx of mid diastolic rumbling murmur?