Definition – obstructed right ventricular outflow resulting in right ventricular hypertrophy
Epidemiology
- usually congenital, often with other birth defects such as tetralogy of Fallot
- rare among the elderly
- may result from rheumatic fever
Assessment Findings
- dyspnea, fatigue, chest pain and syncope
- peripheral edema may cause discomfort
Management: surgical – replace the valve via balloon and cardiac catheter
Nursing interventions
- same as tricuspid stenosis and tricuspid insufficiency
- monitor for findings of heart failure, pulmonary edema, and adverse reactions to to the drug therapy
- post-op: monitor client for hypotension, dysrhythmias and thrombus formation
- monitor the cardio seven
- client and family teaching – same as tricuspid stenosis and tricuspid insufficiency.

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