Hostname: page-component-848d4c4894-r5zm4 Total loading time: 0 Render date: 2024-06-23T08:16:29.882Z Has data issue: false hasContentIssue false

Functional near-tricuspid atresia in a patient with absent pulmonary valve and an intact ventricular septum

Published online by Cambridge University Press:  30 August 2016

Yasunobu Miki*
Affiliation:
Department of Cardiology, Kobe Children’s Hospital, Hyogo, Japan
Toshikatsu Tanaka
Affiliation:
Department of Cardiology, Kobe Children’s Hospital, Hyogo, Japan
Yoshihiro Oshima
Affiliation:
Department of Cardiovascular Surgery, Kobe Children’s Hospital, Hyogo, Japan
*
Correspondence to: Y. Miki, Department of Cardiology, Kobe Children’s Hospital, 1-6-7 Minatojimamimamimachi, Chuo-ku, Kobe, Hyogo 650-0047, Japan. Tel: +81 078 945 7300; Fax: +81 078 302 1023; E-mail: mkysnb@gmail.com

Abstract

Absent pulmonary valve with an intact ventricular septum is a rare malformation. We report a case of absent pulmonary valve and intact ventricular septum with functional near-tricuspid atresia caused by pulmonary regurgitation. Initial palliation with main pulmonary artery ligation and bilateral pulmonary artery banding was performed at 1 day of age. More antegrade flow across the tricuspid valve was recognised postoperatively, resulting in a successful right ventricular outflow tract reconstruction by a hand-sewn bileaflet polytetrafluoroethylene valve and modified Blalock–Taussig shunt at 11 days of age.

Type
Brief Report
Copyright
© Cambridge University Press 2016 

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

1. Litovsky, S, Choy, M, Park, J, et al. Absent pulmonary valve with tricuspid atresia or severe tricuspid stenosis: report of three cases and review of the literature. Pediatr Dev Pathol 2000; 3: 353366.Google Scholar
2. Best, TH, Vyas, HV, Jaquiss, RD, Sachdeva, R. Tricuspid atresia with absent pulmonary valve and intact ventricular septum: a rare association. Congenit Heart Dis 2011; 6: 393396.CrossRefGoogle ScholarPubMed
3. Szwast, A, Tian, Z, McCann, M, et al. Anatomic variability and outcome in prenatally diagnosed absent pulmonary syndrome. Ann Thorac Surg 2014; 98: 152158.Google Scholar
4. Burkhardt, BE, Arnold, R, Schlensak, C, Bökenkamp, R, Stiller, B. Aorto-right ventricular tunnel causing functional tricuspid atresia. Circulation 2012; 125: e591e594.Google Scholar
5. Lato, K, Gembruch, U, Geipel, A, et al. Tricuspid atresia with absent pulmonary valve and intact ventricular septum: intrauterine course and outcome of an unusual congenital heart defect. Ultrasound Obstet Gynecol 2010; 35: 243245.Google Scholar
6. Kasahara, H, Aeba, R, Yozu, R. Fenestrated exclusion of the right ventricle for tricuspid atresia and absent pulmonary valve. Ann Thorac Surg 2010; 90: 647649.CrossRefGoogle ScholarPubMed
7. Brown, JW, Ruzmetov, M, Vijay, P, Rodefeld, MD, Turrentine, MW. Surgical treatment of absent pulmonary valve syndrome associated with bronchial obstruction. Ann Thorac Surg 2006; 82: 22212226.Google Scholar
8. Yong, MS, Yim, D, Brizard, CP, et al. Long-term outcomes of patients with absent pulmonary valve syndrome: 38 years of experience. Ann Thorac Surg 2014; 97: 16711677.Google Scholar
9. Nunn, GR, Bennetts, J, Onikul, E. Durability of hand-sewn valves in the right ventricular outlet. J Thorac Cardiovasc Surg 2008; 136: 290296.Google Scholar