Lim Kyoung Ah, Huh June, Jun Tae-Gook
Department of Pediatrics, Sungkyunkwan University, School of Medicine, Samsung Medical Center, Seoul, Korea.
Cardiol Young. 2004 Aug;14(4):450-2. doi: 10.1017/S1047951104004172.
We report a rare case of an isolated critical tricuspid regurgitation due to rupture of a papillary muscle. This patient presented with a cyanosis immediately after birth. Despite mechanical ventilation and medical management to decrease the pulmonary vascular resistance, the low cardiac output persisted, along with the cyanosis. Repair of the tricuspid valve was performed, using an artificial tendinous cord, on the 4th day of life. The short-term result of the surgery is satisfactory, but the patient requires long-term follow-up.
我们报告一例罕见的因乳头肌破裂导致的单纯严重三尖瓣反流病例。该患者出生后立即出现青紫。尽管进行了机械通气和药物治疗以降低肺血管阻力,但低心输出量和青紫持续存在。患儿出生后第4天使用人工腱索进行了三尖瓣修复术。手术的短期结果令人满意,但患者需要长期随访。