Which of the following generally are not symptoms of tricuspid valve disease?

A. Pulmonary edema.

D. Hoarseness.

DISCUSSION: Hepatic failure and anasarca are indeed common symptoms of severe, long-standing tricuspid valve disease with increased venous pressure. Pulmonary edema is a consequence of left-sided heart disease and does not result from a tricuspid lesion. Similarly, hoarseness is most common after mitral valve disease with left atrial enlargement and is rarely due to tricuspid valve disease alone.