Spontaneous Tricuspid Valve Chordal Rupture in Idiopathic Pulmonary Hypertension

Ana Clara Tude Rodrigues; José E Afonso; Adriana Cordovil; Claudia Monaco; Rafael Piveta; Rodrigo Cordovil; Claudio H Fischer; Marcelo Vieira; Edgar Lira-Filho; Samira S Morhy

doi:10.1111/echo.13130

Spontaneous Tricuspid Valve Chordal Rupture in Idiopathic Pulmonary Hypertension

Echocardiography. 2016 Mar;33(3):472-5. doi: 10.1111/echo.13130. Epub 2015 Dec 13.

Affiliations

¹ Echocardiography Laboratory, MDP, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
² Lung Transplantation Department, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.

PMID: 26660848
DOI: 10.1111/echo.13130

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.

Keywords: chordal rupture; echocardiography; pulmonary hypertension; tricuspid valve.

Publication types

Case Reports

MeSH terms

Adult
Diagnosis, Differential
Echocardiography / methods
Familial Primary Pulmonary Hypertension / complications
Familial Primary Pulmonary Hypertension / diagnostic imaging*
Familial Primary Pulmonary Hypertension / therapy*
Fatal Outcome
Female
Humans
Rupture
Rupture, Spontaneous / diagnostic imaging
Rupture, Spontaneous / etiology
Rupture, Spontaneous / surgery
Treatment Outcome
Tricuspid Valve / diagnostic imaging*
Tricuspid Valve / injuries*
Tricuspid Valve / surgery
Tricuspid Valve Insufficiency / diagnostic imaging*
Tricuspid Valve Insufficiency / etiology
Tricuspid Valve Insufficiency / surgery*