A case of an infant with flail tricuspid valve due to spontaneous papillary muscle rupture: Was neonatal lupus the culprit?

被引:9
作者
Fleming, G. A. [1 ]
Scholl, F. G. [2 ]
Kavanaugh-McHugh, A. [1 ]
Liske, M. R. [1 ]
机构
[1] Vanderbilt Univ, Monroe Carell Jr Childrens Hosp, Div Pediat Cardiol, Nashville, TN 37232 USA
[2] Vanderbilt Univ, Dept Cardiothorac Surg, Med Ctr, Nashville, TN 37232 USA
关键词
endocardial fibroelastosis; flail tricuspid valve; neonatal lupus syndrome; papillary muscle rupture;
D O I
10.1007/s00246-007-9109-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 3-month-old infant presented in extremis with a flail tricuspid valve. The authors theorized that the genesis of her papillary muscle rupture was perinatal ischemia compounded by worsening pulmonary valvular stenosis leading to excessive fiber tension. Her underlying diagnosis of autoimmune-mediated heart block with endocardial fibroelastosis and prenatal glucocorticoid steroid treatment represents potentiating factors.
引用
收藏
页码:442 / 445
页数:4
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