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Case Reports in Medicine
Volume 2009 (2009), Article ID 108295, 4 pages
http://dx.doi.org/10.1155/2009/108295
Case Report

Successful Tricuspid Valve Replacement in a Patient with Severe Pulmonary Arterial Hypertension and Preserved Right Ventricular Systolic Function

1Division of Cardiology, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA
2Los Angeles Biomedical Research Institute at Harbor, UCLA Medical Center, Los Angeles, CA 90502, USA
3Division of Cardiothoracic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA
4Division of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA

Received 11 February 2009; Accepted 26 May 2009

Academic Editor: Frank A. Pigula

Copyright © 2009 Jamil A. Aboulhosn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 56-year-old patient with severe pulmonary hypertension developed severe tricuspid regurgitation, right-sided heart failure, and congestive hepatopathy. She was transferred for possible lung transplant and/or tricuspid valve surgery. Clinical and echocardiographic assessment provided confidence that acute tricuspid valve failure was responsible for the decompensation and that tricuspid valve replacement despite pulmonary hypertension could be performed.