Rotura espontánea de válvula tricúspide en un paciente con hipertensión pulmonar secundaria a VIH

• José Luis Winter ^[1] ; Pablo Castro ^[1] ; Julián Vega ^[1] ; Alejandro Paredes ^[1] ; Luigi Gabrielli ^[1] ; Javier Revello ^[1] ; Samuel Córdova ^[1] ; Fernando Baraona ^[1] ; Hugo Verdejo ^[1] ; Rodrigo González ^[1]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 142, Nº. 2, 2014, págs. 246-249
• Idioma: español
• Títulos paralelos:
  • Spontaneous rupture of tricuspid valve papillary muscle in pulmonary hypertension secondary to HIV infection.Report of one case
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• Resumen

  • Acute primary tricuspid regurgitation (TR) secondary to papillary muscle rupture is an extremely rare clinical situation. We report a 42-year-old male with pulmonary artery hypertension (PAH) secondary to HIV infection, who presented with an acute TR due to spontaneous papillary muscle rupture. He remained in cardiogenic shock despite therapy with inotropic drugs and pulmonary vasodilator therapy. He was subjected to a tricuspid valve replacement. In the postoperative period the patient had severe PAH, which was successfully controlled with inhaled nitric oxide. Tricuspid valve replacement and adjunctive use of pulmonary vasodilator therapy can be a life saving and useful approach in this condition.