Critical tricuspid insufficiency due to papillary muscle rupture. A result of prenatal hypoxic insult.
Fatal tricuspid insufficiency secondary to papillary muscle rupture due to prenatal hypoxic insult occurred in a full-term newborn. The diagnosis of flail tricuspid valve should be considered when fetal distress is encountered in a newborn with persistent hypoxemia. Prenatal diagnosis of this condition combined with prompt delivery, prostaglandin E1 therapy, and possible surgical repair of the tricuspid valve may improve chances of survival.
Alkalay
A L
AL
Department of Pediatrics, University of California School of Medicine, Cedars-Sinai Medical Center, Los Angeles 90048.
Ferry
D A
DA
Pepkowitz
S H
SH
Chou
P J
PJ
Oakes
G K
GK
Pomerance
J J
JJ
D005260:Female; D005311:Fetal Hypoxia / Q000150:complications*; D006341:Heart Rupture / Q000150:complications* / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010210:Papillary Muscles / Q000473:pathology*; D011247:Pregnancy; D014262:Tricuspid Valve Insufficiency / Q000209:etiology* / Q000473:pathology