Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-28T16:31:15.806Z Has data issue: false hasContentIssue false
  • English
  • Français

Flail anterior tricuspid valve leaflet in a neonate: association with maternal antiphospholipid syndrome

Published online by Cambridge University Press:  23 May 2017

Adrian J. Tarca ,
Luke Eckersley  and
Darshan Kothari
Adrian J. Tarca*
Affiliation:
Children’s Cardiac Centre, Princess Margaret Hospital, Perth, Western Australia, Australia
Luke Eckersley
Affiliation:
Children’s Cardiac Centre, Princess Margaret Hospital, Perth, Western Australia, Australia University of Western Australia, Perth, Western Australia, Australia
Darshan Kothari
Affiliation:
Children’s Cardiac Centre, Princess Margaret Hospital, Perth, Western Australia, Australia
*
Correspondence to: Dr A. J. Tarca, Paediatric Resident, Children’s Cardiac Centre, Princess Margaret Hospital, Roberts Road, Subiaco, Perth, WA 6008, Australia. Tel: 08 9340 8222; Fax: 93408983; E-mail: Adrian.Tarca@health.wa.gov.au
Get access Rights & Permissions [Opens in a new window]

Abstract

This brief report describes a case of flail anterior tricuspid valve leaflet in a neonate associated with maternal antiphospholipid syndrome. Fetal echocardiography at 27 weeks of gestation showed competent atrioventricular valves with biventricular echogenic chordae. Fetal distress was noted at delivery, and echocardiography showed a flail anterior leaflet of the tricuspid valve with severe regurgitation. Possible causation and implications of maternal antiphospholipid syndrome are discussed.

Keywords

Tricuspid regurgitationflail leafletmaternal antiphospholipid syndromeechogenic chordae
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 8 , October 2017 , pp. 1637 - 1640
Check for updates
Copyright
© Cambridge University Press 2017 

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. Yemul, MA, Flail, A. Anterior tricuspid leaflet secondary to anteroposterior papillary muscle rupture in a neonate. Echocardiography 2014; 31: E151–E155.Google Scholar
2. Loftus, PD, Arrington, CB, Kaza, AK. Neonatal flail tricuspid valve: diagnosis and management. Ann Thorac Surg 2014; 98: 1098–1101.CrossRefGoogle ScholarPubMed
3. Sachdeva, R, Fiser, RT, Morrow, WR, Cava, JR, Ghanayem, NS, Jaquiss, RDB. Ruptured tricuspid valve papillary muscle: a treatable cause of neonatal cyanosis. Ann Thorac Surg 2007; 83: 680–682.Google Scholar
4. Wald, RM, Adatia, I, Van Arsdell, GS, Hornberger, LK. Relation of limiting ductal patency to survival in neonatal Ebstein’s anomaly. Am J Cardiol 2005; 96: 851–856.CrossRefGoogle ScholarPubMed
5. 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: 1458–1462.Google Scholar
6. 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: 241–243.Google Scholar
7. Fleming, GA, Scholl, FG, Kavanaugh-McHugh, A, Liske, MR. A case of an infant with flail tricuspid valve due to spontaneous papillary muscle rupture: was neonatal lupus the culprit? Pediatr Cardiol 2008; 29: 442–445.Google Scholar
8. Nield, LE, Silverman, ED, Smallhorn, JF, et al. Endocardial fibroelastosis associated with maternal anti-Ro and anti-La antibodies in the absence of atrio-ventricular block. J Am Coll Cardiol 2002; 40: 796–802.CrossRefGoogle Scholar
9. Min, J, Kim, ER, Yang, CK, Kim, W, Jang, WS, Cho, S. Successful repair of critical tricuspid regurgitation secondary to a ruptured papillary muscle in a neonate. Korean J Thorac Cardiovasc Surg 2014; 47: 398–401.CrossRefGoogle ScholarPubMed

Tarca supplementary material

Tarca supplementary material 1

Download Tarca supplementary material(Video)
Video 1.4 MB

Tarca supplementary material

Tarca supplementary material 2

Download Tarca supplementary material(Video)
Video 1.5 MB
Supplementary material: File

Tarca supplementary material

Tarca supplementary material 3

Download Tarca supplementary material(File)
File 1.9 MB
Supplementary material: File

Tarca supplementary material

Tarca supplementary material 4

Download Tarca supplementary material(File)
File 567.5 KB