J Korean Soc Traumatol.  2015 Jun;28(2):67-70. 10.0000/jti.2015.28.2.67.

Traumatic Tricuspid Regurgitation Cause by Chordal Rupture: A Case Report

Affiliations
  • 1Division of Trauma and Surgical Critical Care, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul,Korea. skhong94@amc.seoul.kr
  • 2Department of General Surgery, Armed Forces Capital Hospital, Kyounggido, Korea.
  • 3Division of Cardiology, Department of Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.

Abstract

Traumatic tricuspid regurgitation is a rare complication of blunt chest trauma caused by chordal rupture, anterior papillary muscle rupture and anterior leaflet tear. Since clinical symptoms are vague, early diagnosis is difficult and some patient exhibit symptoms of right heart failure. Right heart failure has been the traditional indication for surgical treatment, such as tricuspid valve replacement. Recently, early detection using transthoracic echocardiography and surgical treatment, like valve repair, prior to overt right heart failure have been shown to better prognosis. We report a case of traumatic tricuspid regurgitation with chordal rupture in patient due to traffic accident.

Keyword

Traumatic tricuspid regurgitation; Blunt chest trauma; Cardiac contusion

MeSH Terms

Accidents, Traffic
Early Diagnosis
Echocardiography
Heart Failure
Humans
Papillary Muscles
Prognosis
Rupture*
Thorax
Tricuspid Valve
Tricuspid Valve Insufficiency*
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