Tricuspid Atresia with Absent Pulmonary Valve with Nearly Discontinuous Branch Pulmonary Arteries

Pediatr Cardiol. 2024 Feb;45(2):446-451. doi: 10.1007/s00246-023-03331-6. Epub 2023 Nov 13.

Abstract

Absent pulmonary valve with tricuspid atresia or tricuspid stenosis (APV-TA/TS) is an extremely rare congenital heart defect associated with significant morbidity and mortality. Compared to Tetralogy of Fallot with Absent Pulmonary Valve Syndrome, branch pulmonary arteries are not typically significantly dilated. We present the case of a newborn male prenatally diagnosed APV-TA with intact ventricular septum (IVS) and nearly discontinuous branch pulmonary arteries, the surgical strategy employed, and the salient hemodynamic factors considered in the medical decision-making.

Keywords: Absent pulmonary valve; Hypoplastic right ventricle; Interventricular septum; Single ventricle; Tricuspid atresia.

Publication types

  • Case Reports

MeSH terms

  • Heart Defects, Congenital* / surgery
  • Humans
  • Infant, Newborn
  • Male
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Atresia* / diagnostic imaging
  • Pulmonary Atresia* / surgery
  • Pulmonary Valve* / abnormalities
  • Pulmonary Valve* / diagnostic imaging
  • Tricuspid Atresia* / diagnostic imaging
  • Tricuspid Atresia* / surgery
  • Ventricular Septum*