Hostname: page-component-848d4c4894-nmvwc Total loading time: 0 Render date: 2024-06-23T04:55:02.515Z Has data issue: false hasContentIssue false

Congenital tricuspid insufficiency due to rupture of chordae tendinea secondary to intrauterine obliteration of ductus arteriosus

Published online by Cambridge University Press:  12 May 2022

Gizem Sari
Affiliation:
Istanbul Medipol University Faculty of Medicine, Department of Pediatric Cardiology, Turkey
Emre Oteyaka*
Affiliation:
Istanbul Medipol University Faculty of Medicine, Department of Cardiovascular Surgery, Turkey
Okan Eren Kuguoglu
Affiliation:
Istanbul Medipol University Faculty of Medicine, Department of Cardiovascular Surgery, Turkey
Mehmet Turan Basunlu
Affiliation:
Istanbul Medipol University Faculty of Medicine, Department of Pediatric Cardiology, Turkey
Yakup Karakurt
Affiliation:
Istanbul Medipol University Faculty of Medicine, Department of Neonatology, Turkey
Yilmaz Yozgat
Affiliation:
Istanbul Medipol University Faculty of Medicine, Department of Pediatric Cardiology, Turkey
Gamze Demirel
Affiliation:
Istanbul Medipol University Faculty of Medicine, Department of Neonatology, Turkey
Murat Ugurlucan
Affiliation:
Istanbul Medipol University Faculty of Medicine, Department of Cardiovascular Surgery, Turkey
Ayhan Tastekin
Affiliation:
Istanbul Medipol University Faculty of Medicine, Department of Neonatology, Turkey
Halil Turkoglu
Affiliation:
Istanbul Medipol University Faculty of Medicine, Department of Cardiovascular Surgery, Turkey
*
Author for correspondence: Emre Oteyaka, Prof., MD, Istanbul Medipol University, Faculty of Medicine, Department of Cardiovascular Surgery, TEM Avrupa Otoyolu, Goztepe Cikisi, No: 1, 34214 Bagcilar / Istanbul, Turkey. Tel: +90 537 984 79 99. E-mail: eoteyaka@gmail.com

Abstract

Congenital rupture of tricuspid chordae tendinea leading to severe tricuspid insufficiency is an extremely rare pathology associated with signs and symptoms of congestive heart failure presenting at birth. If the diagnosis and treatment of this pathology are not made early in life fetal demise may become inevitable.

We herein present a neonate with central cyanosis and congestive heart failure due to rupture of an anterior leaflet chordae resulting in severe insufficiency of the tricuspid valve who was treated with appropriate surgery.

Type
Brief Report
Copyright
© The Author(s), 2022. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hamrick, SEG, Sallmon, H, Rose, AT, et al. Patent ductus arteriosus of the preterm infant. Pediatrics 2020 Nov; 146: e20201209.CrossRefGoogle ScholarPubMed
Aslam, M, Christou, HA. Intrauterine closure of the ductus arteriosus: implications for the neonatologist. Am J Perinatol 2009 Aug; 26: 473478.CrossRefGoogle ScholarPubMed
Hornberger, LK, Sahn, DJ, Kleinman, CS, Copel, JA, Reed, KL. Tricuspid valve disease with significant tricuspid insufficiency in the fetus: diagnosis and outcome. J Am Coll Cardiol 1991 Jan; 17: 167173.CrossRefGoogle ScholarPubMed
Sachdeva, R, Fiser, RT, Morrow, WR, Cava, JR, Ghanayem, NS, Jaquiss, RD. Ruptured tricuspid valve papillary muscle: a treatable cause of neonatal cyanosis. Ann Thorac Surg 2007 Feb; 83: 680682.CrossRefGoogle ScholarPubMed
Alkalay, AL, Ferry, DA, Pepkowitz, SH, Chou, PJ, Oakes, GK, Pomerance, JJ. Critical tricuspid insufficiency due to papillary muscle rupture. a result of prenatal hypoxic insult. Am J Dis Child 1988 Jul; 142: 753755.CrossRefGoogle ScholarPubMed
Anagnostopoulos, PV, Alphonso, N, Nölke, L, et al. Neonatal mitral and tricuspid valve repair for in utero papillary muscle rupture. Ann Thorac Surg 2007; 83: 14581462.CrossRefGoogle ScholarPubMed
Pan, JY, Lin, CC, Chang, JP. Successful repair of neonatal tricuspid regurgitation due to chordae rupture. J Thorac Dis 2018; 10: E186E188.CrossRefGoogle ScholarPubMed
Kaulitz, R, Haen, S, Sieverding, L, Ziemer, G. Intrauterine rupture of anterior tricuspid valve papillary muscle: tricuspid valve chordae replacement on the first day of life. J Thorac Cardiovasc Surg 2012; 143: 241243.CrossRefGoogle ScholarPubMed

Sari et al. supplementary material

Sari et al. supplementary material 1

Download Sari et al. supplementary material(Video)
Video 788.9 KB

Sari et al. supplementary material

Sari et al. supplementary material 2

Download Sari et al. supplementary material(Video)
Video 609.1 KB