title: [Spontaneous rupture of tricuspid valve papillary muscle in pulmonary hypertension secondary to HIV infection. Report of one case].
abstract: Acute primary tricuspid regurgitation (TR) secondary to papillary muscle rupture is an extremely rare clinical situation. We report a 42-year-old male with pulmonary artery hypertension (PAH) secondary to HIV infection, who presented with an acute TR due to spontaneous papillary muscle rupture. He remained in cardiogenic shock despite therapy with inotropic drugs and pulmonary vasodilator therapy. He was subjected to a tricuspid valve replacement. In the postoperative period the patient had severe PAH, which was successfully controlled with inhaled nitric oxide. Tricuspid valve replacement and adjunctive use of pulmonary vasodilator therapy can be a life saving and useful approach in this condition.
authors: José Luis
authors: JL
authors: Winter
authors: Pablo
authors: P
authors: Castro
authors: Julián
authors: J
authors: Vega
authors: Alejandro
authors: A
authors: Paredes
authors: Luigi
authors: L
authors: Gabrielli
authors: Javier
authors: J
authors: Revello
authors: Samuel
authors: S
authors: Córdova
authors: Fernando
authors: F
authors: Baraona
authors: Hugo
authors: H
authors: Verdejo
authors: Rodrigo
authors: R
authors: González
mesh_terms: D000328:Adult; D015658:HIV Infections / Q000150:complications*; D006349:Heart Valve Diseases / Q000209:etiology*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications*; D008297:Male; D010210:Papillary Muscles; D012422:Rupture, Spontaneous / Q000209:etiology; D012770:Shock, Cardiogenic / Q000209:etiology*; D014261:Tricuspid Valve