Rivero-Carvallo Sign in Bioprosthetic Tricuspid Valve Stenosis

Kazuhito Hirata, MD; Nobuhito Yagi, MD; Minoru Wake, MD

JACC: Case Reports (Sep 2023)

Rivero-Carvallo Sign in Bioprosthetic Tricuspid Valve Stenosis

Kazuhito Hirata, MD,
Nobuhito Yagi, MD,
Minoru Wake, MD

Affiliations

Kazuhito Hirata, MD: Address for correspondence: Dr Kazuhito Hirata, Division of Cardiology, Okinawa Chubu Hospital, 281 Miyazato, Uruma, Okinawa Prefecture 904-2293, Japan.; Division of Cardiology, Okinawa Chubu Hospital, Uruma, Okinawa Prefecture, Japan
Nobuhito Yagi, MD: Division of Cardiology, Okinawa Chubu Hospital, Uruma, Okinawa Prefecture, Japan
Minoru Wake, MD: Division of Cardiology, Okinawa Chubu Hospital, Uruma, Okinawa Prefecture, Japan

Journal volume & issue: Vol. 22
p. 101984

Abstract

Read online

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.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

Keywords