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Traumatic tricuspid valve regurgitation: A two case series
A Eranki1, C Villanueva1, A Wilson-Smith1
1Department of Cardiothoracic Surgery, John Hunter Hospital, Newcastle, Australia.
Trauma Case Reports
|January 21, 2022
Summary
Traumatic tricuspid valve injury, though rare, can cause significant heart issues. Prompt surgical intervention is often necessary to preserve right ventricular function, but timing depends on the patient's overall condition.
Area of Science:
- Cardiology
- Trauma Surgery
- Cardiac Surgery
Background:
- Traumatic tricuspid valve injury is a rare occurrence, representing only 0.02% of all traumatic injuries.
- Injuries typically result from blunt chest trauma, though penetrating trauma is also documented.
- Patient presentation ranges from asymptomatic to severe cardiogenic shock.
Observation:
- Significant tricuspid regurgitation necessitates surgical intervention when right heart failure or volume overload is present.
- Early surgical repair is crucial for maintaining right ventricular function.
- Surgical planning must consider concomitant injuries, with potential delays for patient recovery.
Findings:
- This report details two cases of tricuspid regurgitation following blunt trauma.
- The management approach for these complex cases is discussed.
Implications:
- Timely surgical repair of traumatic tricuspid valve injury is vital for preserving cardiac function.
- Individualized surgical timing, considering patient comorbidities and other injuries, is essential for optimal outcomes.
- This case series contributes to understanding the management of rare traumatic cardiac injuries.
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