J Korean Med Sci.  2012 Apr;27(4):443-445. 10.3346/jkms.2012.27.4.443.

Late Simultaneous Presentation of Left Ventricular Pseudoaneurysm and Tricuspid Regurgitation after Blunt Chest Trauma

• Min HK
• Kang DK
• Jun HJ
• Hwang YH
• Seol SH
• Jin K
• Song JW
• Oh CK

• KMID: 2157907
• DOI: http://doi.org/10.3346/jkms.2012.27.4.443

Abstract

A 32-yr-old man developed progressive exertional dyspnea 4 yr after blunt chest trauma due to an automobile accident. Two-dimensional echocardiography and computed-tomographic coronary angiography demonstrated a large pseudoaneurysm of the left ventricle and severe tricuspid regurgitation. The patient underwent successful surgical exclusion of the pseudoaneurysm by endoaneurysmal patch closure and repair of the tricuspid valve regurgitation. To the best of our knowledge, this is the first case of these 2 different pathologies presenting late simultaneously after blunt chest trauma and successful surgical repairs in the published literature.

Keyword

Wounds and Injuries; Tricuspid Valve Insufficiency; Aneurysm; False

MeSH Terms

Accidents, Traffic
Adult
Aneurysm, False/*diagnosis/*pathology/surgery/ultrasonography
Coronary Angiography
Dyspnea/diagnosis
Heart Ventricles/pathology/ultrasonography
Humans
Male
*Thoracic Injuries/etiology
Tomography, X-Ray Computed
*Tricuspid Valve
Tricuspid Valve Insufficiency/*diagnosis/*pathology/surgery/ultrasonography

Figure

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  Fig. 1 Transthoracic echocardiographic images from the apical four-chamber view. (A) The pseudoaneurysm (An) is clearly demonstrated, (B) with aberrant flow through the basal left ventricular (LV) communication on color flow mapping, and (C) the modified four-chamber view with color flow mapping reveals severe regurgitation of the tricuspid valve with a prolapsed anterior leaflet.

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  Fig. 2 Enhanced chest CT scan with axial image shows the pseudoaneurysm (An) of the left ventricle (LV) at the level of the mitral valve, which is communicating via the small opening (*).

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  Fig. 3 These photographs show an intra-operative view (arrows) (A) and an opened neck (*) of the pseudoaneurysm (B).

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