Successful Management of Severe Tricuspid Regurgitation Associated with Hydrops Fetalis in a Case of Dysplastic Tricuspid Valve

Abstract

We report a case with hydrops fetalis and severe tricuspid regurgitation due to dysplastic tricuspid valve, diagnosed in utero and followed after birth. The patient was successfully managed on the basis of useful echocardiographic informations.

Successful Repair of Critical Tricuspid Regurgitation Secondary to a Ruptured Papillary Muscle in a Neonate

“…Medical treatment, which is aimed at reducing the high pulmonary vascular resistance, allows for an increase in the antegrade flow from the right ventricle and may also improve the systemic perfusion. However, the inability to open the ductus limits the therapeutic options, with the exception of ECMO [6]. In our case, severe TR without ductal patency did not provide appropriate vital signs; thus, the repair of TV was performed after initial stabilization by using ECMO.…”

Successful repair of critical tricuspid regurgitation secondary to ruptured papillary muscle in a newborn

“…Medical treatment, which is aimed at reducing the high pulmonary vascular resistance, allows for an increase of antegrade flow from the right ventricle and also should improve the systemic perfusion. 6 Should the clinical state of the neonate continue to deteriorate, however, and no further improvement is established, any plastic procedure must be considered to minimize the backflow through the tricuspid valve. Repair using artificial tendinous cords has been reported in children by Reddy et al 7 Cordal replacement, or augmentation with an expanded polytetrafluoroethylene suture, was shown to be a useful technique when the congenitally dysplastic valves had abnormal cordal support.…”