Skip to main content

“Balloon valvulotomy” of congenital pulmonary valve stenosis with tricuspid valve insufficiency


The rare congenital anomaly of pulmonary valve stenosis and massive tricuspid valve insufficiency with intact ventricular septum is a lethal condition without reported survival after attempted treatment. In a neonate suffering from this syndrome, the pulmonary valve stenosis was relieved by rupturing the fused valve with a balloon catheter introduced transvenously. The desperate conditon of the patient quickly improved after this procedure, with subsequent disappearance of the tricuspid valve incompetence. Balloon rupturing of fused valves at angiography may represent a therapeutic alternative in cases in which surgical valvulotomy is associated with a high mortality.

This is a preview of subscription content, access via your institution.


  1. 1.

    Aaron, B.L., Mills, M., Lower, R.R.: Congenital tricuspid insufficiency. Chest 69:637–641, 1976

    PubMed  CAS  Google Scholar 

  2. 2.

    Barr, P.A., Celermajer, J.M., Denby Bowdler, J., Cartmill, T.B.: Severe congenital tricuspid incompetence in the neonate. Circulation 49:962–967, 1974

    PubMed  CAS  Google Scholar 

  3. 3.

    Becker, A.E., Becker, M.J., Edwards, J.E.: Pathologic spectrum of dysplasia of the tricuspid valve. Arch. Path. 91:167–178, 1971

    PubMed  CAS  Google Scholar 

  4. 4.

    Bucciarelli, R.L., Nelson, R.M., Egan, E.A., Eitzman, D.V., Gessner, I.H.: Transient tricuspid insufficiency of the newborn: A form of myocardial dysfunction in stressed newborns. Pediatrics 59:330–337, 1977.

    PubMed  CAS  Google Scholar 

  5. 5.

    Green, E.W., Ziegler, R.F., Mieher, W.C.: Physiologic and anatomic considerations in congenital tricuspid valvular defects. Circulation 26:723–724, 1962

    Google Scholar 

  6. 6.

    Schrire, V., Sutin, G.J., Barnard, C.N.: Organic and functional pulmonary atresia with intact ventricular septum. Am. J. Cardiol. 43:100–108, 1961

    Article  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to B. K. H. Semb M.D..

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Semb, B.K.H., Tjönneland, S., Stake, G. et al. “Balloon valvulotomy” of congenital pulmonary valve stenosis with tricuspid valve insufficiency. Cardiovasc Radiol 2, 239–241 (1979).

Download citation

Key words

  • Neonatal heart failure
  • Intact ventricular septum