Tricuspid Regurgitation

Table 1: Aetiology of tricuspid regurgitation
Congenital Acquired
Ebsteins anomaly
  • RV dilatation mitral valve disease, RV infarction, pulmonary hypertension
  • Infective endocarditis (intravenous drug abuse)
  • Marfans syndrome

Both the tricuspid and pulmonary valves can be stenotic or regurgitant.

In the emergency setting, the most important presentation is tricuspid regurgitation (TR) secondary to either infective endocarditis in intravenous drug abusers or chronic obstructive pulmonary disease (COPD) with pulmonary hypertension and subsequent right ventricular failure/dilatation.
The aetiology of TR is explained in Table 1.