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Tricuspid atresia



Tricuspid atresia
Classification & external resources
Anterior (frontal) view of the opened heart. White arrows indicate normal blood flow. (Tricuspid valve labeled at bottom left.)
ICD-10 Q22.4
ICD-9 746.1
OMIM 605067
MedlinePlus 001110
eMedicine med/2313 
MeSH D018785

Tricuspid atresia is a form of congenital heart disease whereby there is a complete absence of the tricuspid valve. Therefore, there is an absence of right atrioventricular connection. This leads to a hypoplastic or an absence of the right ventricle. This defect is contracted during prenatal development, when the heart does not finish developing. It causes the heart to be unable to properly oxigenate the rest of the blood in the body. Because of this, the body does not have enough oxygen to live, and steps must be taken to keep the child alive. Because of the lack of an A-V connection, an atrial septal defect (ASD) must be present to maintain blood flow. Also, since there is a lack of a right ventricle there must be a way to pump blood into the pulmonary arteries, and this is accomplished by a ventricular septal defect (VSD).

Additional recommended knowledge

Blood is mixed in the left atrium. Because the only way the pulmonary circulation receives blood is through the VSD, a patent ductus arteriosus is usually also formed to increase pulmonary flow.

Clinical manifestations

  • progressive cyanosis
  • poor feeding
  • tachypnea over the first 2 weeks of life
  • holosystolic murmur due to the VSD
  • superior axis and left ventricular hypertrophy (since it must pump blood to both the pulmonary and systemic systems)
  • normal heart size

Treatment

External links

  • Tricuspid Atresia information from Seattle Children's Hospital Heart Center
 
This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Tricuspid_atresia". A list of authors is available in Wikipedia.
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