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Two-dimensional echocardiography in post traumatic tricuspid incompetence.
Acta Cardiologica
|January 1, 1983
Summary
Post-traumatic tricuspid incompetence can cause systolic protrusion of the anterior tricuspid leaflet. Echocardiography findings of leaflet excursion and loss of coaptation do not always indicate subvalvular apparatus rupture.
Area of Science:
- Cardiology
- Medical Imaging
- Cardiac Surgery
Background:
- Tricuspid incompetence can result from trauma.
- Accurate echocardiographic assessment is crucial for diagnosis and management.
Purpose of the Study:
- To describe echocardiographic findings in patients with post-traumatic tricuspid incompetence.
- To evaluate the diagnostic implications of specific echocardiographic abnormalities.
Main Methods:
- Complete two-dimensional echocardiographic study.
- Analysis of systolic intra-atrial protrusion of the anterior tricuspid leaflet.
- Assessment of leaflet coaptation and excursion into the right atrium.
Main Results:
- All four patients exhibited systolic intra-atrial protrusion of the anterior tricuspid leaflet.
- Total loss of coaptation between leaflets was observed.
- Abnormalities were not consistently visualized across all transducer locations, indicating potential for false negatives.
- Marked leaflet excursion and loss of coaptation did not necessarily imply subvalvular apparatus rupture.
Conclusions:
- Echocardiography can reveal specific abnormalities in post-traumatic tricuspid incompetence.
- Careful interpretation is needed as findings may not always be evident.
- These echocardiographic findings alone do not confirm subvalvular apparatus rupture.