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

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 r...

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Autores principales:	Winter,José Luis, Castro,Pablo, Vega,Julián, Paredes,Alejandro, Gabrielli,Luigi, Revello,Javier, Córdova,Samuel, Baraona,Fernando, Verdejo,Hugo, González,Rodrigo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Hypertension pulmonary Papillary muscles Tricuspid valve insufficiency
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200014
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spelling	oai:scielo:S0034-988720140002000142014-08-18Rotura espontánea de válvula tricúspide en un paciente con hipertensión pulmonar secundaria a VIHWinter,José LuisCastro,PabloVega,JuliánParedes,AlejandroGabrielli,LuigiRevello,JavierCórdova,SamuelBaraona,FernandoVerdejo,HugoGonzález,Rodrigo Hypertension pulmonary Papillary muscles Tricuspid valve insufficiency 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.2 20142014-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200014es10.4067/S0034-98872014000200014
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Hypertension pulmonary Papillary muscles Tricuspid valve insufficiency
spellingShingle	Hypertension pulmonary Papillary muscles Tricuspid valve insufficiency Winter,José Luis Castro,Pablo Vega,Julián Paredes,Alejandro Gabrielli,Luigi Revello,Javier Córdova,Samuel Baraona,Fernando Verdejo,Hugo González,Rodrigo Rotura espontánea de válvula tricúspide en un paciente con hipertensión pulmonar secundaria a VIH
description	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.
author	Winter,José Luis Castro,Pablo Vega,Julián Paredes,Alejandro Gabrielli,Luigi Revello,Javier Córdova,Samuel Baraona,Fernando Verdejo,Hugo González,Rodrigo
author_facet	Winter,José Luis Castro,Pablo Vega,Julián Paredes,Alejandro Gabrielli,Luigi Revello,Javier Córdova,Samuel Baraona,Fernando Verdejo,Hugo González,Rodrigo
author_sort	Winter,José Luis
title	Rotura espontánea de válvula tricúspide en un paciente con hipertensión pulmonar secundaria a VIH
title_short	Rotura espontánea de válvula tricúspide en un paciente con hipertensión pulmonar secundaria a VIH
title_full	Rotura espontánea de válvula tricúspide en un paciente con hipertensión pulmonar secundaria a VIH
title_fullStr	Rotura espontánea de válvula tricúspide en un paciente con hipertensión pulmonar secundaria a VIH
title_full_unstemmed	Rotura espontánea de válvula tricúspide en un paciente con hipertensión pulmonar secundaria a VIH
title_sort	rotura espontánea de válvula tricúspide en un paciente con hipertensión pulmonar secundaria a vih
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200014
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Rotura espontánea de válvula tricúspide en un paciente con hipertensión pulmonar secundaria a VIH

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