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[Traumatic tricuspid insufficiency].

M T Villarroel, J L Bardají, J J Olalla

    Revista Espanola De Cardiologia
    |February 1, 1989
    PubMed
    Summary
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    Isolated tricuspid valve regurgitation following chest trauma is rare but often benign. Diagnosis is aided by echocardiography, with surgery potentially delayed for decades, as seen in two long-undiagnosed cases.

    Area of Science:

    • Cardiology
    • Trauma Surgery
    • Diagnostic Imaging

    Background:

    • Nonpenetrating chest trauma can rarely cause isolated tricuspid valve regurgitation.
    • The clinical presentation is typically benign, allowing for delayed surgical intervention.

    Observation:

    • Two cases of traumatic tricuspid regurgitation are presented.
    • Patients remained largely asymptomatic with mild symptoms for 16 and 43 years post-injury.

    Findings:

    • Two-dimensional Doppler echocardiography is crucial for diagnosing traumatic injury to the tricuspid valve apparatus (chordae tendineae, papillary muscles).
    • Delayed diagnosis is possible even after several decades.

    Implications:

    • This highlights the potential for delayed presentation of traumatic tricuspid regurgitation.

    Related Experiment Videos

  • Echocardiography is vital for identifying subtle cardiac damage after chest trauma.
  • Management strategies should consider the benign course and possibility of delayed surgery.