Moderate tricuspid regurgitation

Many pregnant women will find that their fetuses have moderate tricuspid valve regurgitation during prenatal checkups. This is a very worrying problem. In fact, this phenomenon is very common in the fetal period. Most fetuses can heal on their own and will not have this problem after birth, so parents do not need to worry too much. Moreover, the surgical treatment of tricuspid regurgitation is very mature, and most treatments will not have other side effects and the effect is very good.

Can I keep a baby with tricuspid regurgitation?

The fetus can be kept if there is tricuspid valve regurgitation. Tricuspid valve regurgitation is also called tricuspid valve reverse flow. When blood is ejected from the right atrium into the pulmonary artery, it does not close tightly and some of the blood returns to the right atrium. In the late pregnancy, the fetus is right heart dominant, so there is a possibility of right ventricular enlargement and tricuspid valve ring dilation. Tricuspid regurgitation doesn’t mean anything now, as many children have it. Most of them will heal themselves as the fetus develops during the 6th month of pregnancy, and many of them will no longer have it after birth. There's no need to worry too much at the moment.

Tricuspid regurgitation is quite common in babies nowadays, usually caused by congenital diseases. If the adverse symptoms are not very serious, the fetus can be born. The decision on surgical treatment is based on the evaluation of the condition after birth and whether severe clinical symptoms occur.

Fetal tricuspid regurgitation is not an indication for caesarean section. It means that the tricuspid valve of the heart is narrowed. If there are no other adverse symptoms, the baby can still be born. Special attention should be paid to Down syndrome screening tests at 15-20 weeks of pregnancy and four-dimensional color ultrasound examinations at 20-28 weeks to determine the condition of the fetus.

Fetal tricuspid regurgitation is a heart disease, and whether the baby can be born depends on personal circumstances. In addition, you need to strengthen your nutrition during pregnancy. It is important to get enough rest. Calcium supplementation during the 13-27 weeks of pregnancy promotes fetal development. If necessary, further examination is needed. If serious congenital heart disease is confirmed, the pregnancy should be terminated promptly.

What to do if pregnant women have tricuspid regurgitation

Patients with tricuspid regurgitation should first be diagnosed with heart disease. Comprehensive analysis of clinical data, including medical history, symptoms and related laboratory tests, presence or absence of cardiomegaly, heart murmurs, etc. It is necessary to check the ultrasound examination data to see whether the internal diameters of each atrium and chamber of the heart, the valvular morphology and the opening and closing movements are normal, whether symptoms of organic heart disease are detected, and to provide corresponding treatment.

Mild reflux has no obvious symptoms and can be observed temporarily without treatment. If it is serious, it will increase the burden on the right atrium, causing right atrial dilation and subsequent poor systemic venous return. Severe reflux requires surgical treatment; drug treatment is useless.

For patients with mild tricuspid regurgitation, the fused junction can be incised directly before annuloplasty. For patients with more severe lesions, valve replacement should be performed. Currently, the most advanced treatment method is thoracoscopic valve replacement, which has the advantages of less trauma, less bleeding, less pain, quick recovery, short hospitalization time and low cost. After the operation, it is expected to recover like a normal person, protect heart function and promote improved prognosis.