Parachute tricuspid valve in an asymptomatic adult

Mohan, Jagdish C.; Shekhar, Chandra; Mohan, Vipul; Kaur, B; Singh, Shivesh Kumar

doi:10.1016/s0019-4832(12)60020-0

Cited by 3 publications

(8 citation statements)

References 4 publications

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“…Anatomical and histological abnormalities in subvalvular apparatus could cause valvular stenosis or regurgitation. Unlike parachute mitral valves, both parachute and parachute‐like tricuspid valves are frequently asymptomatic as they usually do not cause significant stenosis or regurgitation . Severe symptomatic TR necessitated surgical correction in the present patient.…”

Section: Cardiovascular Imagementioning

confidence: 81%

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Asymmetric Parachute‐Like Tricuspid Valve with Severe Tricuspid Regurgitation in an Adult Patient

et al. 2016

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Section: Cardiovascular Imagementioning

confidence: 81%

“…Unlike parachute mitral valves, both parachute and parachute-like tricuspid valves are frequently asymptomatic as they usually do not cause significant stenosis or regurgitation. [1][2][3] Severe symptomatic TR necessitated surgical correction in the present patient.…”

mentioning

confidence: 75%

Asymmetric Parachute‐Like Tricuspid Valve with Severe Tricuspid Regurgitation in an Adult Patient

et al. 2016

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“…All patients had a single papillary muscle in the right ventricle. The papillary muscle was described as: calcified ( n = 2) [ 5 ], short ( n = 1) [ 15 ], from the apex ( n = 1) [ 12 ] and a single anterior one ( n = 1) [ 9 ].…”

Section: Resultsmentioning

confidence: 99%

“…The chordae tendineae were narrated for 4 patients: they were with normal length and thickness ( n = 1) [ 14 ], elongated ( n = 1) [ 8 ], shorter ( n = 1) [ 15 ] and shortened and thickened ( n = 1) [ 4 ].…”

Section: Resultsmentioning

confidence: 99%

Parachute tricuspid valve: a systematic review

Yuan

2020

Orphanet J Rare Dis

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Background A parachute tricuspid valve is a very rare congenital cardiac anomaly. Its morphological features and clinical implications have not been sufficiently described so far. The purpose of the present systematic review is to disclose the morphological and clinical characteristics of parachute tricuspid valve, and to discuss its diagnostic methods, treatments and patients’ outcomes. Main body The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement guidelines were followed in this systematic review. Publications were systematically searched in the PubMed, Highwire Press, and the Cochrane Library databases. By comprehensive retrieval of the pertinent literature published between 1979 and 2019, 13 reports were collected with 14 patients recruited into this study. Their ages ranged from neonate to 52 years old with a median age of 23 years. Tricuspid valve regurgitation of a less-than-severe degree was seen in 6 (60%) patients, tricuspid valve stenosis was present in 3 (30%) patients and normally functioning tricuspid valve was noted in 1 (10%) patient. All patients had a single papillary muscle in the right ventricle. The chordae tendineae could be normal in length and thickness, or elongated, or shortened and thickened. Forty percent of the patients were asymptomatic or with only mild symptoms and did not need a surgical or interventional therapy, and 6 (60%) patients were indicated for a surgical/interventional treatment due to their severe presenting symptoms, associated congenital heart defects, and the resultant severe right ventricular inflow obstruction and (or) tricuspid stenosis. Patients’ outcomes varied depending on the substantial status of the patients with a survival rate of 70% and mortality rate of 30%. Conclusion A few patients with a parachute tricuspid valve are asymptomatic or only with mild symptoms and a surgical or interventional treatment is not required. The surgical/interventional indications for parachute tricuspid valve patients are their severe presenting symptoms, associated congenital heart defects, and the resultant severe right ventricular inflow obstruction and (or) tricuspid stenosis. The survival rate of this patient setting is satisfactory.

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“…4 Parachute tricuspid valve is a late discovery 5 with a single case each reported with tetralogy of Fallot, 6 double-outlet right ventricle, 7 two cases with atrial septal defect 8,9 and three in isolation. [10][11][12] Most of these cases were not symptomatic due to parachute tricuspid valve. Congenitally corrected transposition is a rare cardiac malformation characterized by the combination of discordant atrioventricular and ventriculo-arterial connections, usually accompanied by other cardiovascular malformations.…”

Section: Discussionmentioning

confidence: 99%

Parachute deformity of both atrioventricular valves with congenitally corrected transposition in an adult

Mohan

Shukla

Sethi

2015

Indian Heart Journal

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A 23-year-young female presented with mild exertional dyspnoea and palpitation since early childhood. By deploying 2D- and 3D echocardiography, she was detected to have situs solitus, atrioventricular and ventriculoarterial discordance with L-malposition of great vessels, valvular pulmonary stenosis, large secundum atrial septal defect, bicuspid aortic valve, right-sided aortic arch, and moderately severe mitral and tricuspid valve regurgitation. Typical parachute deformities of the morphologically mitral and tricuspid valves were observed. 3D echocardiography revealed a single papillary muscle in the morphologically left ventricle placed anteriorly and providing insertion to tendinous cords and only a moderator band with no other muscle bundles in the morphologically right ventricle placed posteriorly and providing attachment to two strings of cords. Considering the minimal symptoms, conservative treatment was pursued.

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Parachute tricuspid valve in an asymptomatic adult

Cited by 3 publications

References 4 publications

Asymmetric Parachute‐Like Tricuspid Valve with Severe Tricuspid Regurgitation in an Adult Patient

Asymmetric Parachute‐Like Tricuspid Valve with Severe Tricuspid Regurgitation in an Adult Patient

Parachute tricuspid valve: a systematic review

Parachute deformity of both atrioventricular valves with congenitally corrected transposition in an adult

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