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European Heart Journal 1984 5(7):597-601;
Copyright © 1984 by the European Society of Cardiology.
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© 1984 The European Society of Cardiology

Flail tricuspid leaflet in childhood—A possible cause of supraventricular tachycardia

P. G. BJØRNSTAD, P. LUNDE* and B. K. H. SEMB

Department of Pediatric Cardiology Rikshospitalet, The National Hospital Oslo, Norway and the Department of Medicine, Rogaland Central Hospital Stavanger, Norway

Received 22 August 1983; revised 16 February 1984; .

Address for correspondence Per G. Bjørnstad M.D., Department of Pediatric Cardiology, Rikshospitalet, 0027 Oslo 1, Norway.

Abstract

The echocardiagraphic features of flail tricuspid leaflet of unknown aetiology is reported. The diagnosis was made in a previously healthy 11 year old boy presenting with recurrent attacks of supraventricular tachycardia. M-mode echocardiography showed rapid early systolic movement of the tricuspid valve away from the transducer and holosystolic, coarse fluttering of its small, redundant part. The sector scan, showing the free movement of a part of the septal tricuspid leaflet into the right atrium during systole was confirmatory. It was felt that Ebsteins anomaly could be excluded.

The recurrent attacks of supraventricular tachycardia were difficult to treat pharmacologically, and may have been related to the flail tricuspid leaflet which mechanically triggered the arrhythmia through an aberrant pathway.

Key Words: TM-echocardiography • cross-sectional echocardiography • flail tricuspid leaflet • supraventricular tachycardia • childhood arrhythmia


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