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Ruptured Tricuspid Valve Papillary Muscle in a Neonate with Intractable Persistent Fetal Circulation
Korean Circulation Journal ; : 340-343, 2015.
Article Dans Anglais | WPRIM | ID: wpr-211252
ABSTRACT
Unguarded tricuspid regurgitation (TR) due to a flail tricuspid leaflet is a rare condition of newborn cyanosis. A high perinatal mortality has been associated with this fatal condition. But, there are feasible surgical repairs to improve survival. We report the case of a male full-term neonate with intractable hypoxia. He had profound tricuspid insufficiency and leaflet prolapse caused by a ruptured papillary muscle supporting the anterior leaflet of the tricuspid valve. He presented with severe cyanosis and respiratory distress immediately after birth. Despite medical management, the pulmonary vascular resistance was not decreased and a low cardiac output persisted. Initial stabilization was accomplished with nitric oxide and extracorporeal membrane oxygenation. The tricuspid valve repair surgery was successfully performed subsequently. TR resulting from papillary muscle rupture is a potentially lethal condition. Timely diagnosis and proper surgical treatment can be lifesaving.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Muscles papillaires / Persistance de la circulation foetale / Prolapsus / Rupture / Chirurgie thoracique / Valve atrioventriculaire droite / Insuffisance tricuspide / Résistance vasculaire / Bas débit cardiaque / Oxygénation extracorporelle sur oxygénateur à membrane Type d'étude: Etude diagnostique Limites du sujet: Femelle / Humains / Mâle / Nouveau-né langue: Anglais Texte intégral: Korean Circulation Journal Année: 2015 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Muscles papillaires / Persistance de la circulation foetale / Prolapsus / Rupture / Chirurgie thoracique / Valve atrioventriculaire droite / Insuffisance tricuspide / Résistance vasculaire / Bas débit cardiaque / Oxygénation extracorporelle sur oxygénateur à membrane Type d'étude: Etude diagnostique Limites du sujet: Femelle / Humains / Mâle / Nouveau-né langue: Anglais Texte intégral: Korean Circulation Journal Année: 2015 Type: Article