Ahmed Said Abdirahman, Abdi Ahmed Elmi, Abdi Ishak Ahmed, Aksu Feyza, Osman Ishak Mohamed, Fujeyra Abdullahi Mohamed Hassan, Mohamud Mohamed Abdullahi, Ali Abdijalil Abdullahi, Waberi Mohamud Mire, Hassan Mohamed Omar
Cardiology Department at Mogadishu Somali-Turkish Training and Research Hospital, Mogadishu, Somalia.
Internal Medicine Department at Aden Abdulle Hospital, Mogadishu, Somalia.
Radiol Case Rep. 2024 Jun 27;19(9):3861-3863. doi: 10.1016/j.radcr.2024.05.033. eCollection 2024 Sep.
Atrioventricular valve parachute deformity is rare and is generally seen in the mitral position, called the parachute mitral valve. It is rare to see it in the tricuspid valve and up to now, there have been approximately 14 cases of parachute abnormalities in tricuspid valves in a literature review. We present here a 21-year-old male who presented to the emergency department with progressive shortness of breath over several months. Despite the absence of chest pain, palpitations, or weight changes, examination revealed a soft, holosystolic murmur at the left lower sternal border. Further investigation through electrocardiogram and echocardiogram identified a rare structural abnormality known as parachute tricuspid valve, resulting in significant tricuspid regurgitation with mild right chamber enlargement. The patient was recommended to go abroad for further management since a cardiothoracic surgeon is not available in our country.
房室瓣降落伞样畸形较为罕见，通常见于二尖瓣位置，称为降落伞样二尖瓣。在三尖瓣中较为少见，截至目前，文献综述中约有14例三尖瓣降落伞样异常病例。我们在此报告一名21岁男性，他因数月来进行性气短就诊于急诊科。尽管没有胸痛、心悸或体重变化，但检查发现左胸骨下缘有柔和的全收缩期杂音。通过心电图和超声心动图进一步检查发现了一种罕见的结构异常，即降落伞样三尖瓣，导致严重的三尖瓣反流并伴有轻度右心室扩大。由于我国没有心胸外科医生，建议该患者出国进行进一步治疗。
