Isolated tricuspid prolapse in young child

Patanè, Salvatore; Marte, Filippo; Bella, Gianluca Di; Tommaso, Eleonora Di; Pagano, Giuseppina Tindara; Chiribiri, Amedeo

doi:10.1016/j.ijcard.2008.04.093

Cited by 3 publications

(3 citation statements)

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“…6 Children were so rare that there were only few cases reported. [3][4][5]8,12,14 About 43,000 children diagnosed with CHD underwent cardiac surgery in Fuwai hospital from January, 2010 to December, 2019. However, only 10 consecutive patients with isolated tricuspid regurgitation underwent tricuspid valve repair surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Isolated tricuspid regurgitation other than Ebstein's anomaly was rare and only a few cases had been reported in children. [1][2][3][4][5][6] It was generally believed that isolated tricuspid regurgitation can be well tolerated and they should be treated by drug therapy instead of surgery during infancy and childhood. 7,8 However, Aaron BL et al reported that not all children responded well to drug therapy and some children died from chronic cardiac failure or pneumonia.…”

Section: Introductionmentioning

confidence: 99%

“…6 Unlike numerous reports on the treatment for isolated tricuspid regurgitation in adults, [9][10][11] there were only few paediatric cases reported. 4,8,12 There was a doubt about whether surgical intervention was required and when surgical intervention was seasonable in children. The purpose of the study was to investigate the clinical characteristics and assess the results of tricuspid valve surgery for isolated tricuspid regurgitation in children.…”

Section: Introductionmentioning

confidence: 99%

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Tricuspid valvuloplasty for isolated tricuspid regurgitation in children

Wang

Pang

et al. 2020

Cardiol Young

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Background: Isolated congenital tricuspid regurgitation other than Ebstein’s anomaly was rare especially for children. The objective of this study was to investigate the clinical characteristics and to assess the results of tricuspid valvuloplasty for children with isolated tricuspid regurgitation. Methods: From January 2010 to June 2019, 10 consecutive patients with isolated tricuspid regurgitation who were unresponsive to drug therapy underwent tricuspid valvuloplasty in our hospital. Patients’ clinical data were analysed retrospectively. Results: Mean age at operation was 48.5 ± 31.0 (range: 9–106) months and mean weight at operation was 16.1 ± 6.9 (range: 8.6–33.0) kg. All patients presented severe isolated tricuspid regurgitation. According to pathological lesions, the main causes accounted for chordae tendinea rupture (3/10), leaflet cleft (2/10), mal-connected chordal tendinea to leaflets (2/10), elongated chordae (1/10) and chordae absent (1/10), and severe anterior leaflet dysplasia (1/10). Individualised tricuspid valvuloplasty was adapted to all of them successfully. Post-operative echocardiography showed no tricuspid regurgitation in two patients and mild regurgitation in eight patients. The cardiothoracic ratios on their chest roentgenograms decreased from 0.59 ± 0.05 to 0.54 ± 0.05. At the latest follow-up (50.4 ± 47.2 months), echocardiography showed that mild to moderate tricuspid regurgitation in seven patients, moderate tricuspid regurgitation in three patients, and no patient with severe tricuspid regurgitation. All patients were in NYHA functional class I. Conclusions: For patients with isolated tricuspid regurgitation who were not well responsive to drug therapy, individualised tricuspid valve repair can achieve an excellent result.

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