TY  - EJOU
AU  - Caruso, Elio 
AU  - Farruggio, Silvia 
AU  - Calvaruso, Davide 
AU  - Petruccelli, David Fabio 
AU  - Ruiz, David Angel Ortiz 
AU  - Mambro, Corrado Di 
AU  - Agati, Salvatore 

TI  - Management of “Wall to Wall Heart” in a Transient Neonatal Tricuspid Regurgitation
T2  - Structural and Congenital Heart Disease

PY  - 2021
VL  - 16
IS  - 3
SN  - 3071-1738

AB  - 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.
KW  - Wall to wall heart; tricuspid regurgitation; pulmonary atresia; arterial duct

DO  - 10.32604/CHD.2021.015371