Korean J Thorac Cardiovasc Surg.  1997 May;30(5):533-536.

Severe Tricuspid Regurgitation Following Blunt Chest Trauma - Successful Repair by PTFE Chordal Replacement and Ring Annuloplasty: A Case Report

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Ewha Womans University, Dong Dae Mun Hospital, Seoul, Korea.

Abstract

We report a successful repair of severe traumatic tricuspid regurgitation by PTFE chordal replacement and ring annuloplasty. A 64-year-old man with multiple trauma was referred to our department because of cardio- megaly on chest roentgenogram. Echocardiography showed moderate amount of pericardial effusion and severe tricuspid regurgitation with rupture of anterior papillary muscle. But he experienced progressive dyspnea, and chest roentgenogram showed progressive cardiomegaly. He underwent operation 4 months after trauma. The nterior papillary muscle was reinserted, and the valve was repaired by PTFE chordal replacements and ring annuloplasty. Postoperatively, the patient's functional status was improved, and there was trivial tricuspid regurgitation on echocardiographic examination.

Keyword

Tricuspid valve, insufficiency; Polytetrafluoroethylene; Annuloplasty, tricuspid; Chordae tendineae

MeSH Terms

Cardiomegaly
Chordae Tendineae
Dyspnea
Echocardiography
Humans
Middle Aged
Multiple Trauma
Papillary Muscles
Pericardial Effusion
Polytetrafluoroethylene*
Rupture
Thorax*
Tricuspid Valve Insufficiency*
Polytetrafluoroethylene
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