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Traumatic tricuspid regurgitation.

I Naja1, J L Pomar, C Barriuso

  • 1Department of Cardiovascular Surgery, Hospital Clinic, Barcelona, Spain.

The Journal of Cardiovascular Surgery
|March 1, 1992
PubMed
Summary
This summary is machine-generated.

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Blunt thoracic trauma can cause silent tricuspid valve insufficiency. Surgical repair involving chordae tendineae reinsertion and annuloplasty effectively restored valve function in a young patient.

Area of Science:

  • Cardiology
  • Trauma Surgery

Background:

  • Blunt thoracic trauma can lead to tricuspid valvular insufficiency, often presenting with subtle or imprecise clinical signs.
  • Diagnosis typically relies on cardiac catheterization and two-dimensional echocardiography (2-DE), which may reveal abnormal tricuspid leaflet motion.

Observation:

  • A case report details an 18-year-old male involved in a motorcycle accident who developed dyspnea and fatigue seven months post-trauma.
  • Two-dimensional echocardiography (2-DE) identified cardiac enlargement and severe tricuspid regurgitation.

Findings:

  • Surgical intervention was performed to correct the tricuspid valve incompetence.
  • The procedure included reinsertion of chordae tendineae to the anterolateral papillary muscle and annuloplasty.

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Implications:

  • The patient demonstrated good clinical condition ten months post-surgery.
  • Follow-up 2D-E confirmed only trivial residual tricuspid insufficiency, indicating successful surgical outcomes.