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Extracorporeal membrane oxygenation as a bridge to surgical treatment of flail tricuspid valve in a neonate

  • Cammon B. Arrington (a1), Peter C. Kouretas (a1) and Christopher R. Mart (a1)

Abstract

A term infant rapidly developed profound cyanosis and metabolic acidosis shortly after an uncomplicated vaginal delivery. Echocardiography identified a flail antero-superior leaflet of the tricuspid valve, which was producing severe tricuspid insufficiency. The clinical state deteriorated despite maximal medical management, and the patient was placed on venoarterial extracorporeal membrane oxygenation. Within twenty-four hours, the metabolic acidosis corrected, inotropic support was discontinued, and the patient was weaned to minimal ventilator settings. Successful repair of the tricuspid valve was performed two days later.

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Corresponding author

Correspondence to: Christopher R. Mart, Primary Children's Medical Center, Department of Pediatrics, Division of Cardiology, 100 N. Medical Drive, Salt Lake City, UT 84132, USA. Tel: +1 801 588 2600; Fax: +1 801 588 2612; E-mail: christopher.mart@ihc.com

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References

Rowe RD, Hoffman T. Transient myocardial ischemia of the newborn infant: a form of severe cardiorespiratory distress in full-term infants. J Pediatr 1972; 81: 243250.
Bucciarelli RL, Nelson RM, Egan EA, Eitzman DV, Gessner IH. Transient tricuspid insufficiency of the newborn: a form of myocardial dysfunction in stressed newborns. Pediatrics 1977; 59: 330337.
Reller MD, Rice MJ, McDonald RW. Tricuspid regurgitation in newborn infants with respiratory distress: Echo-Doppler study. J Pediatr 1987; 110: 760764.
Donnelly WH, Bucciarelli RL, Nelson RM. Ischemic papillary muscle necrosis in stressed newborn infants. J Pediatr 1980; 96: 295300.
Setzer E, Ermocilla R, Tonkin I, John E, Sansa M, Cassady G. Papillary muscle necrosis in a neonatal autopsy population: Incidence and associated clinical manifestations. J Pediatr 1980; 96: 289294.
Alkalay AL, Ferry DA, Pepkowitz SH, Chou PJ, Oakes GK, Pomerance JJ. Critical tricuspid insufficiency due to papillary muscle rupture. AJDC 1988; 142: 753755.
Pinto CA, Herdy GV, Ferrari AH, et al. Severe tricuspid valve insufficiency due to anterior papillary muscle infarction of the right ventricle secondary to neonatal hypoxia. Arq Bras Cardiol 1992; 58: 475478.
Pennington DG, Swartz MT. Circulatory support in infants and children. Ann Thorac Surg 1993; 55: 233237.
Marsh TD, Shelton Jr LW. Neonatal tricuspid insufficiency with abnormal tricuspid valve treated with extracorporeal membrane oxygenation (ECMO): possible extension of ECMO use. Am J Perinatol 1993; 10: 3638.
Butler TJ, Yoder BA, Seib P, Lally KP, Smith VC. ECMO for left ventricular assist in a newborn with critical aortic stenosis. Pediatr Cardiol 1994; 15: 3840.

Keywords

Extracorporeal membrane oxygenation as a bridge to surgical treatment of flail tricuspid valve in a neonate

  • Cammon B. Arrington (a1), Peter C. Kouretas (a1) and Christopher R. Mart (a1)

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