Rotura espontánea de válvula tricúspide en un paciente con hipertensión pulmonar secundaria a VIH / Spontaneous rupture of tricuspid valve papillary muscle in pulmonary hypertension secondary to HIV infection.Report of one case
Rev. méd. Chile
;
142(2): 246-249, feb. 2014. ilus
Artigo
em Espanhol
| LILACS
| ID: lil-710994
ABSTRACT
Acute primary tricuspid regurgitation (TR) secondary to papillary muscle rupture is an extremely rare clinical situation. We report a 42-year-old male with pulmonary artery hypertension (PAH) secondary to HIV infection, who presented with an acute TR due to spontaneous papillary muscle rupture. He remained in cardiogenic shock despite therapy with inotropic drugs and pulmonary vasodilator therapy. He was subjected to a tricuspid valve replacement. In the postoperative period the patient had severe PAH, which was successfully controlled with inhaled nitric oxide. Tricuspid valve replacement and adjunctive use of pulmonary vasodilator therapy can be a life saving and useful approach in this condition.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Músculos Papilares
/
Choque Cardiogênico
/
Valva Tricúspide
/
Infecções por HIV
/
Doenças das Valvas Cardíacas
/
Hipertensão Pulmonar
Tipo de estudo:
Estudo de etiologia
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2014
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Pontificia Universidad Católica de Chile/CL
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