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European Journal of Echocardiography 2008 9(1):58-59; doi:10.1016/j.euje.2006.08.016
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2006. For permissions please email: journals.permissions@oxfordjournals.org.

Spontaneous chordae rupture of tricuspid valve in patient with chronic renal failure{dagger}

Hyungseop Kim*, Yun-Kyeong Cho, Chang-Wook Nam, Seong-Wook Han, Seung-Ho Hur, Yoon-Nyun Kim and Kwon-Bae Kim

Division of Cardiology, Department of Internal Medicine, Keimyung University, Dongsan Medical Center, Junggu Dongsandong 194, Daegu, Republic of Korea

Received 13 July 2006; accepted after revision 29 August 2006; online publish-ahead-of-print 10 October 2006.

* Corresponding author. Tel: +82 53 250 7998; fax: +82 53 250 7034. E-mail address: khyungseop{at}dsmc.or.kr


  Abstract

Spontaneous chordae rupture of the tricuspid valve is relatively rare, unlike the mitral valve. We present a 27-year-old male with chronic renal failure on hemodialysis therapy for treatment of parathyroid adenoma. The echocardiography showed the severe tricuspid regurgitation with chordae rupture which was not noted 1 year ago. In addition, the papillary muscle of both mitral and tricuspid valve was shortened and calcified extensively. However, in his clinical history, the specific causes for chordae rupture, such as chest trauma or endocarditis, were not disclosed. It was presumed that dilated right ventricle with volume or pressure overloading and secondary hyperparathyroidism are probably responsible for the chordae rupture of tricuspid valve.

Keywords: Tricuspid valve; Chordae rupture; Hyperparathyroidism; Echocardiography

{dagger} No grant support.


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