The PROGNOSIS and TREATMENT are identical with those of the former lesion.
Tricuspid Stenosis.
This valvular lesion is so rare that there are no established rules for its diagnosis.
Its MORBID APPEARANCES and ETIOLOGY are the same as those of pulmonic stenosis.
The SYMPTOMS of tricuspid stenosis would be those due to obstruction to the entire venous circulation. The right auricle would be dilated, and there would be visceral enlargements in the abdomen, cyanosis of the face and extremities, scanty and albuminous urine, hemorrhoidal tumors, headache, dizziness and vertigo due to passive cerebral hyperæmia, and finally general anasarca. The few recorded cases were associated with mitral stenosis with one exception, a case of Bertin's.24
24 Traité des Maladies du Coeur, Obs. 17.
In a case exhibited by Quain the tricuspid flaps, thick and opaque, were united for one-third of their extent. In the other cases the valve-flaps formed a diaphragm whose central opening varied in size, admitting only the point of one finger. In every condition of tricuspid stenosis the heart was enlarged.
Tricuspid stenosis (as in pulmonic stenosis) may be the result of pressure of tumors.
In all well-authenticated cases the chief symptoms seem to be extreme lividity, palpitation, and dyspnoea.
Physical Signs.—Inspection reveals general cyanosis. The jugulars are turgescent and exhibit presystolic pulsation. This pulsation is sometimes the only inconvenience the patient suffers.