Management of “Wall to Wall Heart” in a Transient Neonatal Tricuspid Regurgitation

We present a case of one-day-old newborn, without prenatal diagnosis, referred to our cardiologic intensive care unit in critical condition presenting sub-cyanosis and peripheral oxygen saturation 80%. Echocardiography diagnosis was tricuspid valve dysplasia with severe regurgitation, functional pulmonary atresia intact ventricular septum reversal flow the large patent ductus arteriosus (PDA). Chest X-ray showed cardiomegaly wall heart. Prostaglandin E1 infusion started once after birth. After few days, clinical conditions progressively worsened because right heart failure; first pharmacological approach close PDA failed surgery ligation necessary restore anterograde size.