Robotic Repair of a Congenital Isolated Cleft of Anterior Tricuspid Valve Leaflet.

Mohanad Hamandi,Robert L Smith,Alexander Crawford,Joy Fan,Karim Al-Azizi,J Michael Dimaio

doi:10.1177/2324709618823809

Abstract

Congenital isolated tricuspid valve (TV) cleft in the anterior leaflet is a rare occurrence, while clefts of the mitral valve leaflets are more common and are usually associated with other congenital heart diseases. In this article, we report a case of TV regurgitation in a young adult female due to an isolated congenital cleft in the anterior TV leaflet, which was surgically repaired using a minimally invasive robotic approach.

Highlights

Severe tricuspid valve (TV) regurgitation due to a cleft in the anterior leaflet is a rare congenital anomaly.[1]
The pathogenesis is still unknown, an abnormality in the development of the endocardial cushion is suspected.[2]. This lesion can often be seen with atrial septal defects, perimembranous ventricular septal defects, or pulmonary valve stenosis.[1,3]
The patient was evaluated by the heart team and deemed an appropriate candidate for robotically assisted TV surgery

Summary

Introduction

Severe tricuspid valve (TV) regurgitation due to a cleft in the anterior leaflet is a rare congenital anomaly.[1]. Severe tricuspid valve (TV) regurgitation due to a cleft in the anterior leaflet is a rare congenital anomaly.[1] the pathogenesis is still unknown, an abnormality in the development of the endocardial cushion is suspected.[2] This lesion can often be seen with atrial septal defects, perimembranous ventricular septal defects, or pulmonary valve stenosis.[1,3] We report a case of isolated congenital tricuspid regurgitation caused by a cleft in the anterior tricuspid leaflet in an adult and correction via a robotically assisted minimally invasive approach.

Results

Conclusion