Very rare Image for Rheumatoid tricuspid valve changes

Rheumatic tricuspid valve disease occurs in association with rheumatic involvement of the mitral aortic valves combined. The third world still have a significant prevalence of rheumatic tricuspid valvular disease. The preponderance of cases is in young women. Rheumatic tricuspid disease usually results in a regurgitant valve with variable amounts of stenosis, Borders of the stenotic tricuspid orifice are usually fibrous and thickened, although peripheral portions of the leaflets remain thin. The hallmark of organic tricuspid stenosis is commissural fusion. All commissures are usually equally fused, but occasionally fusion is limited to the anteroseptal commissure. Chordal thickening and fusion are usually mild, and calcification is usually absent.Case of 30 years old lady who underwent cardiac surgery for mitral, Aortic, tricuspid valve replacement.Keywords: Valvular disease; Rheumatismal changes; Tricuspid valve disease