Congenital tricuspid valve calcification: A diagnostic and surgical challenge. Case report

IF 0.4 Q4 PEDIATRICS

PROGRESS IN PEDIATRIC CARDIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-14 DOI:10.1016/j.ppedcard.2025.101876

Alex Ismael Catalán Cabrera , Edwin Martin Bedoya Rivera , Alfredo Ernesto Homes Linfa , Mónica Medina Durand , Karen del Rosario Condori Alvino , Geovanna Geraldine Gutiérrez Iparraguirre , Nelly Tamayo Huiza

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引用次数: 0

Abstract

Among congenital anomalies of the tricuspid valve, Ebstein’s anomaly is the most frequent, followed by tricuspid valve dysplasia[1], and, more rarely, congenital tricuspid valve calcification. All these conditions may present with tricuspid regurgitation, which can become severe and lead to early hemodynamic compromise.

We present the case of a one-month-old infant with persistent cyanosis and hemodynamic instability. Prostaglandin infusion was initiated to maintain ductal patency and ensure pulmonary blood flow, achieving hemodynamic stabilization. Echocardiography revealed severe tricuspid regurgitation with a markedly echogenic anterior leaflet, without apical displacement of the valve leaflets. Cardiac tomography further suggested calcification of the tricuspid valve.

This case represented a diagnostic and therapeutic challenge. Intraoperative findings confirmed congenital tricuspid valve calcification, which precluded repair. The patient underwent surgical intervention with a favorable postoperative course. Pathological examination corroborated the diagnosis. The patient was discharged and continues follow-up in outpatient pediatric cardiology.

This case underscores that surgical management should be guided by tricuspid valve morphology and clinical presentation [2], with some patients requiring early intervention.

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先天性三尖瓣钙化：诊断和手术的挑战。病例报告

在先天性三尖瓣畸形中，Ebstein畸形最为常见，其次为三尖瓣发育不良[1]，而先天性三尖瓣钙化更为罕见。所有这些情况都可能出现三尖瓣反流，这可能变得严重并导致早期血流动力学损害。我们提出的情况下，一个月大的婴儿持续紫绀和血流动力学不稳定。开始前列腺素输注以维持导管通畅，确保肺血流，实现血流动力学稳定。超声心动图显示严重的三尖瓣反流，前叶回声明显，瓣叶顶端未移位。心脏断层进一步提示三尖瓣钙化。这个病例代表了诊断和治疗的挑战。术中发现证实先天性三尖瓣钙化，无法修复。患者接受手术治疗，术后病程良好。病理检查证实了诊断。患者出院并继续在门诊儿科心脏病科随访。本病例强调手术治疗应根据三尖瓣形态和临床表现[2]进行指导，部分患者需要早期干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PROGRESS IN PEDIATRIC CARDIOLOGY PEDIATRICS-

CiteScore

0.90

自引率

11.10%

发文量

审稿时长

75 days

期刊介绍： Progress in Pediatric Cardiology is an international journal of review presenting information and experienced opinion of importance in the understanding and management of cardiovascular diseases in children. Each issue is prepared by one or more Guest Editors and reviews a single subject, allowing for comprehensive presentations of complex, multifaceted or rapidly changing topics of clinical and investigative interest.