Key result
ECMO stabilization followed by surgical repair restores normal cardiac function in neonatal tricuspid papillary rupture.
Why the study?
Severe tricuspid regurgitation caused by papillary muscle rupture in neonates is a rare event with limited reported cases and high perinatal mortality.
Case Report (n=1)
No
Demonstrates that severe neonatal tricuspid regurgitation due to a ruptured papillary muscle can be successfully managed using ECMO as a bridge to surgical valve repair.
Answers are grounded in this paper and cite their sources.
May be feasible in neonatal tricuspid papillary rupture; single case leaves open generalizability and optimal strategy.
Severe tricuspid regurgitation resulting from a flail leaflet is a rare cause of neonatal cyanosis. We report a neonate with profound cyanosis and severe tricuspid regurgitation caused by a rupture of the papillary muscle supporting the anterior leaflet, without other structural heart defects. Ductal patency could not be established. The repair of the tricuspid valve was performed after initial stabilization by using extracorporeal membrane oxygenation.
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Min et al. (2014) conducted a case report in Severe tricuspid regurgitation secondary to ruptured papillary muscle (n=1). Extracorporeal membrane oxygenation (ECMO) followed by surgical tricuspid valve repair was evaluated on Survival and cardiac function. Initial stabilization with ECMO followed by surgical repair of a ruptured tricuspid papillary muscle in a neonate resulted in normal cardiac function and trivial regurgitation at 6 months.
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