Open Access

CASE REPORT

Management of “Wall to Wall Heart” in a Transient Neonatal Tricuspid Regurgitation

Elio Caruso^*, Silvia Farruggio, Davide Calvaruso, David Fabio Petruccelli, David Angel Ortiz Ruiz, Corrado Di Mambro, Salvatore Agati

Mediterranean Pediatric Cardiology Center “Bambino Gesù”, San Vincenzo Hospital, Taormina, Italy

* Corresponding Author: Elio Caruso. Email:

Congenital Heart Disease 2021, 16(3), 205-210. https://doi.org/10.32604/CHD.2021.015371

Received 14 December 2020; Accepted 06 January 2021; Issue published 02 March 2021

Abstract

We present a case of a one-day-old newborn, without prenatal diagnosis, referred to our cardiologic intensive care unit in critical condition presenting sub-cyanosis and peripheral oxygen saturation of 80%. Echocardiography diagnosis was tricuspid valve dysplasia with severe regurgitation, functional pulmonary valve atresia with intact ventricular septum and reversal flow in the large patent ductus arteriosus (PDA). Chest X-ray showed severe cardiomegaly and wall to wall heart. Prostaglandin E1 infusion was started once after birth. After few days, clinical conditions progressively worsened because of right heart failure; a first pharmacological approach to close PDA failed and surgery ligation of PDA was necessary to restore anterograde pulmonary flow and heart size.

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