Ak. Menon et al., CONGENITAL HYPOPLASTIC ANTERIOR LEAFLET O F THE TRICUSPID-VALVE CAUSES A HIGH-GRADE REGURGITATION IN A 64-YEAR-OLD MAN, Zeitschrift fur Kardiologie, 85(2), 1996, pp. 108-111
In a 64-year-old man a heart murmur was present since childhood and co
uld be identified 8 years ago as isolated tricuspid regurgitation. Bec
ause of progressive dyspnea there was an indication for surgical treat
ment. Intraoperatively, we found a hypoplastic anterior leaflet, thoug
h the other two leaflets were preserved in totally good condition, wit
hout any evidence of endocarditis. Tricuspid valve replacement was per
formed as there was no chance of reconstruction. To our knowledge, thi
s is the first description of a congenital hypoplastic anterior leafle
t of the tricuspid valve.