Functional Tricuspid Regurgitation or Rare Congenital Condition?

A 42-YEAR-OLD woman on hemodialysis with a history of end-stage renal disease, left ventricular ejection fraction of 45%, mean pulmonary artery pressure of 45 mmHg, and severe tricuspid regurgitation had several recent hospitalizations for worsening dyspnea on exertion and peripheral edema. She denied intravenous drug abuse, carcinoid symptoms, trans-tricuspid valve instrumentation, or any known congenital conditions. Preoperative transthoracic echocardiography demonstrated incomplete tricuspid leaflet coaptation despite normal leaflet structure and mobility.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Diagnostic Dilemma Source Type: research