Severe tricuspid regurgitation with chordae tendinae rupture in CABG surgery.
Xuejie LiJianglong HouPublished in: Echocardiography (Mount Kisco, N.Y.) (2024)
A 58-year-old male patient was admitted with chest pain and was diagnosed with coronary heart disease. He was scheduled for coronary artery bypass grafting (CABG) under cardiopulmonary bypass (CPB). Intraoperative real-time transesophageal echocardiography (TEE) showed that the tricuspid valves were well-aligned and subtle regurgitation. Real-time TEE after separation from CPB showed severe tricuspid regurgitation and prolapsed chordae tendineae. The tricuspid chordae tendineae rupture due to a right atrial venous return cannula. The use of negative pressure to improve venous drainage during CPB may result in the tricuspid valve being adsorbed to the cannula, increasing the likelihood of injury to the tricuspid valve.
Keyphrases
- aortic valve
- mitral valve
- aortic stenosis
- coronary artery bypass grafting
- transcatheter aortic valve replacement
- aortic valve replacement
- left atrial
- left ventricular
- transcatheter aortic valve implantation
- coronary artery disease
- percutaneous coronary intervention
- coronary artery bypass
- ejection fraction
- minimally invasive
- intensive care unit
- extracorporeal membrane oxygenation
- computed tomography
- atrial fibrillation
- patients undergoing
- left atrial appendage
- positive airway pressure
- sleep apnea