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.
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Aaron, B.L., Mills, M., Lower, R.R.: Congenital tricuspid insufficiency. Chest 69:637–641, 1976
Barr, P.A., Celermajer, J.M., Denby Bowdler, J., Cartmill, T.B.: Severe congenital tricuspid incompetence in the neonate. Circulation 49:962–967, 1974
Becker, A.E., Becker, M.J., Edwards, J.E.: Pathologic spectrum of dysplasia of the tricuspid valve. Arch. Path. 91:167–178, 1971
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.
Green, E.W., Ziegler, R.F., Mieher, W.C.: Physiologic and anatomic considerations in congenital tricuspid valvular defects. Circulation 26:723–724, 1962
Schrire, V., Sutin, G.J., Barnard, C.N.: Organic and functional pulmonary atresia with intact ventricular septum. Am. J. Cardiol. 43:100–108, 1961
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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). https://doi.org/10.1007/BF02552069
- Neonatal heart failure
- Intact ventricular septum