Maria Rosal Martins1*, Alain Poncelet2, Michel Van Dyck1, Olivier Van Caenegem3, Christine Watremez1, Thierry Sluysmans4 and Mona Momeni1
1Department of Anesthesiology, Université Catholique de Louvain, Cliniques universitaires Saint-Luc, Belgium
2Department of Cardiothoracic and vascular surgery, Université Catholique de Louvain, Cliniques universitaires Saint-Luc, Belgium
3Department of Cardiovascular Intensive Care, Université Catholique de Louvain Cliniques universitaires SaintLuc, Belgium
4Department of Cardiac Pediatrics, Université Catholique de Louvain, Cliniques universitaires Saint-Luc, Belgium
A 13-year-old female was admitted to our hospital with terminal heart failure. After 50 days of extracorporeal life support, she underwent orthotopic heart transplantation (OHT). The donor had no cardiac history. During the following days after OHT, the patient presented right ventricular failure with severe tricuspid regurgitation (TR). The decision to perform a tricuspid valve repair was taken after right heart catheterization and multiple echocardiographies. The diagnosis of Ebstein’slike anomaly was made based on intraoperative echocardiographic features and anatomical observance during surgery. This case illustrates that congenital cardiac defects must be considered when facing an important TR after OHT.
Martins MR, Poncelet A, Van Dyck M, Van Caenegem O, Watremez C, Sluysmans T, et al. A Rare Case of Tricuspid Regurgitation in the Setting of Orthotopic Heart Transplantation. Clin Surg. 2017; 2: 1547.