Repair of Severe Tricuspid Regurgitation in a Neonate With Intrauterine Tricuspid Valve Chordae Tendinae Rupture.
Yi-Chia Wang, Heng-Wen Chou, Szu-Yen Hu et al.
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Case in brief
A neonate presented with severe tricuspid regurgitation (TR) and hydrops fetalis associated with tricuspid valve chordae tendinae rupture that had occurred in utero. The infant underwent rescue tricuspid valve repair using artificial chordae, leaflet approximation, and annular reduction. The repair was successful.
What made this case unusual
The severe neonatal TR and hydrops were linked to intrauterine rupture of the tricuspid valve chordae tendinae, an uncommon finding in neonates.
Diagnostic / clinical pearl
In a neonate with severe TR and hydrops fetalis, intrauterine tricuspid chordal rupture is a possible structural explanation.