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

Published online by Cambridge University Press:  21 January 2005

Kyoung Ah Lim
Affiliation:
Department of Pediatrics, Sungkyunkwan University, School of Medicine, Samsung Medical Center, Seoul, Korea
June Huh
Affiliation:
Department of Pediatrics, Sungkyunkwan University, School of Medicine, Samsung Medical Center, Seoul, Korea
Tae-Gook Jun
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Sungkyunkwan University, School of Medicine, Samsung Medical Center, Seoul, Korea

Abstract

We report a rare case of an isolated critical tricuspid regurgitation due to rupture of a papillary muscle. This patient presented with a cyanosis immediately after birth. Despite mechanical ventilation and medical management to decrease the pulmonary vascular resistance, the low cardiac output persisted, along with the cyanosis. Repair of the tricuspid valve was performed, using an artificial tendinous cord, on the 4th day of life. The short-term result of the surgery is satisfactory, but the patient requires long-term follow-up.

Type
Brief Report
Copyright
© 2004 Cambridge University Press

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