Tricuspid Valve Straddling: An Uncommon Cause of Left Ventricular Outflow Tract Obstruction in Transposition of Great Artery with Ventricular Septal Defect

Transposition of great arteries (TGA) can be associated with left ventricle outflow tract (LVOT) obstruction. In the presence of ventricular septal defect (VSD), septal leaflet of tricuspid valve may prolapse through perimembranous VSD or rarely tricuspid valve tissue may override to produce LVOT ob...

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Autores principales: Kumar, Bhupesh, Jayant, Aveek, Munirathinam, Ganesh Kumar, Mahajan, Sachin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5791492/
https://www.ncbi.nlm.nih.gov/pubmed/29336395
http://dx.doi.org/10.4103/aca.ACA_131_17
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author Kumar, Bhupesh
Jayant, Aveek
Munirathinam, Ganesh Kumar
Mahajan, Sachin
author_facet Kumar, Bhupesh
Jayant, Aveek
Munirathinam, Ganesh Kumar
Mahajan, Sachin
author_sort Kumar, Bhupesh
collection PubMed
description Transposition of great arteries (TGA) can be associated with left ventricle outflow tract (LVOT) obstruction. In the presence of ventricular septal defect (VSD), septal leaflet of tricuspid valve may prolapse through perimembranous VSD or rarely tricuspid valve tissue may override to produce LVOT obstruction. Occasionally, this may be mistaken for vegetation due to associated pulmonary valve endocarditis. We report a case of d-TGA with presumptive pulmonary valve endocarditis and LVOT obstruction that was found to be due to tricuspid valve straddling on transesophageal echocardiography, resulting in change in the surgical plan and thus avoiding catastrophe.
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spelling pubmed-57914922018-02-07 Tricuspid Valve Straddling: An Uncommon Cause of Left Ventricular Outflow Tract Obstruction in Transposition of Great Artery with Ventricular Septal Defect Kumar, Bhupesh Jayant, Aveek Munirathinam, Ganesh Kumar Mahajan, Sachin Ann Card Anaesth Case Report Transposition of great arteries (TGA) can be associated with left ventricle outflow tract (LVOT) obstruction. In the presence of ventricular septal defect (VSD), septal leaflet of tricuspid valve may prolapse through perimembranous VSD or rarely tricuspid valve tissue may override to produce LVOT obstruction. Occasionally, this may be mistaken for vegetation due to associated pulmonary valve endocarditis. We report a case of d-TGA with presumptive pulmonary valve endocarditis and LVOT obstruction that was found to be due to tricuspid valve straddling on transesophageal echocardiography, resulting in change in the surgical plan and thus avoiding catastrophe. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5791492/ /pubmed/29336395 http://dx.doi.org/10.4103/aca.ACA_131_17 Text en Copyright: © 2018 Annals of Cardiac Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Kumar, Bhupesh
Jayant, Aveek
Munirathinam, Ganesh Kumar
Mahajan, Sachin
Tricuspid Valve Straddling: An Uncommon Cause of Left Ventricular Outflow Tract Obstruction in Transposition of Great Artery with Ventricular Septal Defect
title Tricuspid Valve Straddling: An Uncommon Cause of Left Ventricular Outflow Tract Obstruction in Transposition of Great Artery with Ventricular Septal Defect
title_full Tricuspid Valve Straddling: An Uncommon Cause of Left Ventricular Outflow Tract Obstruction in Transposition of Great Artery with Ventricular Septal Defect
title_fullStr Tricuspid Valve Straddling: An Uncommon Cause of Left Ventricular Outflow Tract Obstruction in Transposition of Great Artery with Ventricular Septal Defect
title_full_unstemmed Tricuspid Valve Straddling: An Uncommon Cause of Left Ventricular Outflow Tract Obstruction in Transposition of Great Artery with Ventricular Septal Defect
title_short Tricuspid Valve Straddling: An Uncommon Cause of Left Ventricular Outflow Tract Obstruction in Transposition of Great Artery with Ventricular Septal Defect
title_sort tricuspid valve straddling: an uncommon cause of left ventricular outflow tract obstruction in transposition of great artery with ventricular septal defect
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5791492/
https://www.ncbi.nlm.nih.gov/pubmed/29336395
http://dx.doi.org/10.4103/aca.ACA_131_17
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