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Valvular injuries resulting from blunt chest trauma
1Division of Cardiovascular Surgery of the Clinique Residence Du Parc, Marseille, France.
Texas Heart Institute Journal
|September 1, 1985
Summary
Traumatic valvular rupture, especially of the tricuspid valve, is rare. Surgical repair of isolated aortic and tricuspid valve injuries from nonpenetrating trauma led to asymptomatic outcomes in three patients.
Area of Science:
- Cardiology
- Trauma Surgery
- Cardiac Surgery
Background:
- Valvular lesions from nonpenetrating trauma are uncommon.
- Isolated aortic valve rupture is more frequently reported than isolated tricuspid valve rupture.
- Traumatic rupture of heart valves without associated injuries is a rare clinical presentation.
Purpose of the Study:
- To report on the surgical management and outcomes of patients with isolated traumatic valvular rupture.
- To highlight the rarity of tricuspid valve rupture due to nonpenetrating trauma.
- To present cases of delayed surgical intervention for traumatic valvular insufficiency.
Main Methods:
- Case series review of patients treated for traumatic valvular rupture.
- Surgical intervention for valvular insufficiency.
- Assessment of patient outcomes post-surgery.
Main Results:
- Three patients were treated for isolated traumatic valvular rupture.
- One patient had aortic insufficiency, and two patients had tricuspid insufficiency.
- Surgical repair was performed at intervals of 10 weeks, 18 months, and 18 years post-trauma.
- All patients remained asymptomatic after surgical treatment.
Conclusions:
- Isolated traumatic valvular rupture, including the tricuspid valve, can occur due to nonpenetrating trauma.
- Surgical repair is an effective treatment for traumatic valvular insufficiency, even with delayed presentation.
- Prompt or delayed surgical intervention can lead to favorable long-term outcomes and asymptomatic status in patients with traumatic valvular lesions.