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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*
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: [email protected]

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.

Type
Brief Report
Copyright
© Cambridge University Press 2017 

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References

1. Yemul, MA, Flail, A. Anterior tricuspid leaflet secondary to anteroposterior papillary muscle rupture in a neonate. Echocardiography 2014; 31: E151E155.Google Scholar
2. Loftus, PD, Arrington, CB, Kaza, AK. Neonatal flail tricuspid valve: diagnosis and management. Ann Thorac Surg 2014; 98: 10981101.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: 680682.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: 851856.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: 14581462.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: 241243.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: 442445.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: 796802.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: 398401.CrossRefGoogle ScholarPubMed

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