Rivero-Carvallo Sign in Bioprosthetic Tricuspid Valve Stenosis

In a case with bioprosthetic tricuspid stenosis, simultaneous phonocardiogram and Doppler recordings revealed that the louder diastolic rumble in inspiration (Rivero-Carvallo sign) is related to increased tricuspid gradient caused by less prominent decrease of right atrial pressure compared with tha...

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Bibliographic Details
Main Authors: Kazuhito Hirata, MD, Nobuhito Yagi, MD, Minoru Wake, MD
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084923003108
Description
Summary:In a case with bioprosthetic tricuspid stenosis, simultaneous phonocardiogram and Doppler recordings revealed that the louder diastolic rumble in inspiration (Rivero-Carvallo sign) is related to increased tricuspid gradient caused by less prominent decrease of right atrial pressure compared with that of the right ventricle in inspiration caused by tricuspid stenosis. (Level of Difficulty: Intermediate.)
ISSN:2666-0849