Tricuspid atresia is an abnormal development of the right side of the heart. It includes a missing valve between the upper and lower chamber. Tricuspid atresia makes it difficult for your heart to efficiently pump blood to the lungs to get oxygen. Holes will be present in the walls between the left and right side of the heart that cause oxygen-rich and oxygen-poor blood to mix. These holes are necessary to allow blood to be brought to the lungs before a repair can be done. It is often associated with a smaller than normal right lower chamber and abnormalities of the pulmonary artery and aorta.
Tricuspid atresia develops when the baby is in the womb. It is not known exactly why some hearts develop this way.
Factors that increase the risk for congenital heart defects like tricuspid atresia include:
Symptoms may include:
Tricuspid atresia may be diagnosed before birth.
After birth, a tricuspid atresia may be suspected if the baby has a blue-ish color or heart failure, and a heart murmur is detected during a physical exam.
Images may be taken of your baby's bodily structures. This can be done with:
Your child's heart function may be tested. This can be done with:
Treatment is important to prevent severe complications such as heart failure. Treatments may include:
Medication may be given to:
Oxygen may also be given to increase the amount of oxygen in the blood.
Surgery is often needed right away to restore normal blood flow to the lungs. Follow-up surgeries at needed at ages 3-6 months and 2-5 years.
The goal of surgery is to:
The exact surgery will depend on the type and severity of defects that are present. For example, a shunt may be placed to increase blood flow between the sides og the heart. Later, a series of surgeries will be done to further reroute blood flow through the heart, lungs, and body.
Your child will have regular exams from a heart specialist. Your child may also need antibiotics before certain medical or dental procedures to prevent a heart infection.
Preventing fetal heart defects may not always be possible. Good prenatal care may reduce some type of congenital heart defects. Prenatal care includes:
American Heart Association
Family Doctor—American Academy of Family Physicians
Canadian Cardiovascular Society
Heart and Stroke Foundation of Canada
Tricuspid atresia. Boston Children’s Hospital website. Available at: http://www.childrenshospital.org/az/Site508/mainpageS508P0.html. Accessed November 10, 2014.
Tricuspid atresia. Children’s Hospital of Philadelphia website. Available at: http://www.chop.edu/service/cardiac-center/heart-conditions/tricuspid-atresia.html. Accessed November 10, 2014.
Tricuspid atresia. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated October 14, 2014. Accessed November 10, 2014.
Last reviewed May 2015 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.