Tricuspid stenosis is rare except in patients with multivalvular rheu¬matic heart disease or with the carcinoid syndrome. The lower left ster¬nal border diastolic rumble increases on inspiration. A diastolic eleva¬tion of ihe jugular venous pulse occurs (with poor or absent Y descent I and hepatomegaly is present, without other evidence of heart failure. Medical therapy is indicated for mild disease. Surgical repair is rarely required.