J Trauma Inj.  2020 Dec;33(4):264-268. 10.20408/jti.2020.0005.

Traumatic Tricuspid Regurgitation as a Cause of Failure to Wean from Mechanical Ventilation

Affiliations
  • 1Department of Traumatology, Gachon University College of Medicine, Incheon,
  • 2Department of Thoracic and Cardiovascular Surgery, Gachon University College of Medicine, Incheon,
  • 3Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Cheonan,

Abstract

A 55-year-old man underwent emergent sternotomy due to cardiac tamponade occurring just after an accidental fall from a 10-m height. Tricuspid valve regurgitation was found on echocardiography while he was on mechanical ventilation after the operation. The patient was weaned successfully from mechanical ventilation after tricuspid valve repair under cardiopulmonary bypass. Traumatic tricuspid valve regurgitation is a rare blunt chest injury and its symptoms occur late. Tricuspid regurgitation should be considered as a reason for failure to wean from mechanical ventilation after blunt cardiac trauma.


Keyword

Tricuspid valve regurgitation; Trauma; Cardiac tamponade
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