Tricuspid Valve Replacement in an Adult with Destroyed Tricuspid Valve and Refractory Right Heart Failure
Udaya Prashant Ponangi *
Consulant Cardiologist in CARE Hospitals, Hyderabad, India
Hemanth Kumar Kaulkantla
CVTS Surgeon in CARE Hospital Hyderabad, India
Koneti Nageshwar Rao
Paediatric Cardiologist in CARE Hospitals, Hyderabad, India
P. Kirshnam Raju
Cardiology in CARE Hospitals, Hyderabad, India
B. Soma Raju
CARE Hospitals, Cardiology in CARE Hospitals, Hyderabad, India
*Author to whom correspondence should be addressed.
Abstract
22 year old woman with no previous heart disease history, presented with progressive worsening of right heart failure symptoms due to severe tricuspid valve regurgitation which had become refractory to medical management. Echocardiogram revealed probable rare case of dysplastic tricuspid valve with large calcified mobile masses attached to leaflets. Calcified masses were thought to be due to healed vegetations from silent infective endocarditis of abnormal tricuspid valve which she had suffered in the past. There were no known acquired causes of tricuspid valve endocarditis. She had successfully undergone tricuspid valve replacement with bio-prosthetic valve along with a right atrial reduction surgery after which her heart failure symptoms improved markedly.
Keywords: Tricuspid valve endocarditis, Ebstein`s anomaly, bioprosthetic valve, calcified vegetations