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Spontaneous Tricuspid Valve Chordal Rupture in Idiopathic Pulmonary Hypertension
Author(s) -
Rodrigues Ana Clara Tude,
Afonso José E.,
Cordovil Adriana,
Monaco Claudia,
Piveta Rafael,
Cordovil Rodrigo,
Fischer Claudio H.,
Vieira Marcelo,
LiraFilho Edgar,
Morhy Samira S.
Publication year - 2016
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13130
Subject(s) - medicine , pulmonary hypertension , tricuspid valve , exacerbation , cardiology , complication , tricuspid insufficiency , surgery
Rupture of tricuspid valve is unusual, occurring mainly in the setting of blunt trauma or endomyocardial biopsy. Spontaneous tricuspid valve chordal rupture is particularly rare. We report herein a case of a patient with severe pulmonary hypertension, on the lung transplantation waiting list, who presented with spontaneous chordal rupture, exacerbation of tricuspid insufficiency and worsening of clinical status. Diagnosis and treatment, along with possible mechanisms for this complication, are discussed.