A Rare Case of Tricuspid Regurgitation in the Setting of Orthotopic Heart Transplantation

Maria Rosal Martins, Alain Poncelet, Michel Van Dyck, Olivier Van Caenegem, Christine Watremez, Thierry Sluysmans and Mona Momeni

Department of Anesthesiology, Université Catholique de Louvain, Cliniques universitaires Saint-Luc, Belgium
Department of Cardiothoracic and vascular surgery, Université Catholique de Louvain, Cliniques universitaires Saint-Luc, Belgium
Department of Cardiovascular Intensive Care, Université Catholique de Louvain Cliniques universitaires SaintLuc, Belgium
Department of Cardiac Pediatrics, Université Catholique de Louvain, Cliniques universitaires Saint-Luc, Belgium

^*Correspondance to: Maria Rosal Martins 

 PDF  Full Text DOI: 10.25107/2474-1647.1547

Abstract

A 13-year-old female was admitted to our hospital with terminal heart failure. After 50 days of extracorporeal life support, she underwent orthotopic heart transplantation (OHT). The donor had no cardiac history. During the following days after OHT, the patient presented right ventricular failure with severe tricuspid regurgitation (TR). The decision to perform a tricuspid valve repair was taken after right heart catheterization and multiple echocardiographies. The diagnosis of Ebstein’slike anomaly was made based on intraoperative echocardiographic features and anatomical observance during surgery. This case illustrates that congenital cardiac defects must be considered when facing an important TR after OHT.

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Cite the article

Martins MR, Poncelet A, Van Dyck M, Van Caenegem O, Watremez C, Sluysmans T, et al. A Rare Case of Tricuspid Regurgitation in the Setting of Orthotopic Heart Transplantation. Clin Surg. 2017; 2: 1547.