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Spontaneous Tricuspid Valve Chordal Rupture in Idiopathic Pulmonary Hypertension
Ana Clara Tude Rodrigues1, José E Afonso2, Adriana Cordovil1
1Echocardiography Laboratory, MDP, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.
Abstract:
Rupture of tricuspid valve is unusual, occurring mainly in the setting of blunt trauma or endomyocardial biopsy. Spontaneous tricuspid valve chordal rupture is particularly rare. We report herein a case of a patient with severe pulmonary hypertension, on the lung transplantation waiting list, who presented with spontaneous chordal rupture, exacerbation of tricuspid insufficiency and worsening of clinical status. Diagnosis and treatment, along with possible mechanisms for this complication, are discussed.
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