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An abnormally dilated right atrium in a patient of ms with mitral valve replacement: a rare case report

Author: 
Dr. Neera Samar, Dr. Kailash Agarwal, Dr. Mukesh Haritwal and Dr. Sazid
Subject Area: 
Health Sciences
Abstract: 

Introduction: Tricuspid regurgitation encountered in clinical practice are secondary in nature and related to tricuspid annular dilation and leaflet tethering in the setting of RV remodeling caused by pressure or volume overload (or both) and myocardialinfarction. Secondary TR is commonly seen in late stage of heart failure due to rheumatic or congenital heart disease with pulmonary artery hypertension, as well as in other type of left sided valvular disease. The current casewe are reporting is abnormally RA enlargement in mitral stenosis with mitral valve replacement. Case Report: A 50-year-old male presented with a complaint of progressive weight gain and painful swelling of the lower extremities.he had abdominal fullness, diminished appetite and muscle wasting. On detailed clinical examination and relevant investigation, we found that the cause of progressive weight gain was tricuspid regurgitation secondary to PAH which is due to MS (old). Discussion: tricuspid regurgitation is common finding in untreated or incompletely treated MS as it led to raised pulmonary artery pressure. Early identification of the disease and its cause is critical, to consider the entire clinical presentation for correct diagnosis which is generally delayed due to the overlapping symptoms of the disease with various specialties. Conclusion: Diagnosis and management of tricuspid regurgitation with dilated RA still present considerable challenges and patients warrant referral to higher centers. Its diverse presentation warrants a complete Respiratory, cardiac, and general physical examination.

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