title: Spontaneous Tricuspid Valve Chordal Rupture in Idiopathic Pulmonary Hypertension.
abstract: 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.
authors.affiliation: Echocardiography Laboratory, MDP, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
authors.forename: Ana Clara Tude
authors.initials: AC
authors.lastname: Rodrigues
authors.affiliation: Lung Transplantation Department, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
authors.forename: José E
authors.initials: JE
authors.lastname: Afonso
authors.affiliation: Echocardiography Laboratory, MDP, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
authors.forename: Adriana
authors.initials: A
authors.lastname: Cordovil
authors.affiliation: Echocardiography Laboratory, MDP, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
authors.forename: Claudia
authors.initials: C
authors.lastname: Monaco
authors.affiliation: Echocardiography Laboratory, MDP, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
authors.forename: Rafael
authors.initials: R
authors.lastname: Piveta
authors.affiliation: Echocardiography Laboratory, MDP, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Cordovil
authors.affiliation: Echocardiography Laboratory, MDP, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
authors.forename: Claudio H
authors.initials: CH
authors.lastname: Fischer
authors.affiliation: Echocardiography Laboratory, MDP, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
authors.forename: Marcelo
authors.initials: M
authors.lastname: Vieira
authors.affiliation: Echocardiography Laboratory, MDP, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
authors.forename: Edgar
authors.initials: E
authors.lastname: Lira-Filho
authors.affiliation: Echocardiography Laboratory, MDP, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
authors.forename: Samira S
authors.initials: SS
authors.lastname: Morhy
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods; D065627:Familial Primary Pulmonary Hypertension / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D012421:Rupture; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*
keywords: chordal rupture; echocardiography; pulmonary hypertension; tricuspid valve