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Research Article Open access CC BY 3.0

Tricuspid Valve Replacement in an Adult with Destroyed Tricuspid Valve and Refractory Right Heart Failure

Udaya Prashant Ponangi, Hemanth Kumar Kaulkantla, Koneti Nageshwar Rao, P. Kirshnam Raju, B. Soma Raju

Cardiology and Angiology: An International Journal · pp. 134–139 · Published 21 May 2014

10.9734/CA/2014/9701

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.  

Tricuspid valve endocarditis Ebstein`s anomaly bioprosthetic valve calcified vegetations

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