Skip to main content

Advertisement

SpringerLink
Log in

Prenatal diagnosis of premature constriction of the ductus arteriosus with tricuspid papillary muscle rupture: a case report

  • Case Report
  • Published:
Journal of Medical Ultrasonics Aims and scope Submit manuscript

Abstract

We describe the case of a neonate who was prenatally diagnosed at a gestational age of 36 weeks with premature constriction of the ductus arteriosus. Blood from the thin ductus arteriosus flowed toward the pulmonary artery. Severe tricuspid regurgitation was also observed. We subsequently confirmed rupture of the tricuspid papillary muscle after birth. Cardiotonic drugs and nitric oxide were administered immediately at birth for pulmonary hypertension, and this therapy was continued until the seventh postnatal day. Emergency tricuspid valve repair was unnecessary, because there were no signs of severe circulatory insufficiency. This case suggests a relationship between prenatally diagnosed premature constriction of the ductus arteriosus and tricuspid papillary muscle rupture in neonates.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Huhta JC, Moise KJ, Fisher DJ, et al. Detection and quantitation of constriction of the fetal ductus arteriosus by Doppler echocardiography. Circulation. 1987;75:406–12.

    Article  CAS  PubMed  Google Scholar 

  2. Luchese S, Mânica JL, Zielinsky P. Intrauterine ductus arteriosus constriction: analysis of a historic cohort of 20 cases. Arq Bras Cardiol. 2003;81:405–10.

    Article  PubMed  Google Scholar 

  3. Auer M, Brezinka C, Eller P, et al. Prenatal diagnosis of intrauterine premature closure of the ductus arteriosus following maternal diclofenac application. Ultrasound Obstet Gynecol. 2004;23:513–6.

    Article  CAS  PubMed  Google Scholar 

  4. Ishida H, Kawazu Y, Kayatani F, et al. Prognostic factors of premature closure of the ductus arteriosus in utero: a systematic literature review. Cardiol Young. 2016;20:1–5.

    Google Scholar 

  5. Yoon JK, Kim HR, Kwon HW, et al. Ruptured tricuspid valve papillary muscle in a neonate with intractable persistent fetal circulation. Korean Circ J. 2015;45:340–3.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Benvenuti LA, Aiello VD, Cury AJ, et al. Post-ischemic rupture of the anterior papillary muscle of the right ventricle associated with persistent pulmonary hypertension of the newborn: a case report. Am J Cardiovasc Pathol. 1992;4:79–84.

    CAS  PubMed  Google Scholar 

  7. Kaulitz R, Haen S, Sieverding L, et al. Intrauterine rupture of anterior tricuspid valve papillary muscle: tricuspid valve chordae replacement on the first day of life. J Thorac Cardiovasc Surg. 2012;143:241–3.

    Article  PubMed  Google Scholar 

  8. Sachdeva R, Fiser RT, Morrow WR, et al. Ruptured tricuspid valve papillary muscle: a treatable cause of neonatal cyanosis. Ann Thorac Surg. 2007;83:680–2.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Maternal–Fetal Medicine, Osaka Medical Center and Research Institute for Maternal and Child Health, 840, Murodocho, Izumi, Osaka, 594-1101, Japan

    Ayako Inatomi, Jun Sasahara, Keisuke Ishii & Mistuda Nobuaki

Authors
  1. Ayako Inatomi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jun Sasahara
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Keisuke Ishii
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mistuda Nobuaki
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ayako Inatomi.

Ethics declarations

Conflict of interest

None.

Ethical statement

Informed consent was obtained from the patient’s parent to publish his case.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Inatomi, A., Sasahara, J., Ishii, K. et al. Prenatal diagnosis of premature constriction of the ductus arteriosus with tricuspid papillary muscle rupture: a case report. J Med Ultrasonics 45, 337–340 (2018). https://doi.org/10.1007/s10396-017-0807-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10396-017-0807-4

Keywords

Search

Navigation