Spontaneous Tricuspid Valve Chordal Rupture in Idiopathic Pulmonary Hypertension

• DOI: 10.1111/echo.13130
• Publication Date: 2015-12-13T10:30:56Z
• Authors: Ana Clara Tude Ro...; José E. Afonso; Adriana Cordovil; Claudia Monaco; Rafael Piveta; Rodrigo Cordovil; Claudio H. Fischer; Marcelo Vieira; Edgar Lira‐Filho; Samira S. Morhy
• Keywords: Tricuspid insufficiency

Rupture of tricuspid valve is unusual, occurring mainly in the setting blunt trauma or endomyocardial biopsy. Spontaneous chordal rupture particularly rare. We report herein a case patient with severe pulmonary hypertension, on lung transplantation waiting list, who presented spontaneous rupture, exacerbation insufficiency and worsening clinical status. Diagnosis treatment, along possible mechanisms for this complication, are discussed.