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Chronic traumatic tricuspid insufficiency.

A Sheikhzadeh, A F Langbehn, P Ghabusi

    Clinical Cardiology
    |May 1, 1984
    PubMed
    Summary
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    Isolated tricuspid insufficiency, often from chest trauma, presents with distinct clinical signs. Surgical repair should address valve and chordae reconstruction for better outcomes.

    Area of Science:

    • Cardiology
    • Trauma Surgery

    Background:

    • Isolated tricuspid insufficiency (TI) is rare, predominantly caused by trauma.
    • Clinical presentation often includes jugular V waves, right precordial impulse, and systolic liver pulse.

    Purpose of the Study:

    • To report clinical, noninvasive, and invasive findings in patients with isolated tricuspid insufficiency.
    • To evaluate surgical outcomes for tricuspid insufficiency.

    Main Methods:

    • Case series of 5 patients with isolated tricuspid insufficiency.
    • Comprehensive evaluation including clinical exams, right and left heart catheterization, echocardiography, and coronary angiography.
    • Surgical interventions included annuloplasty and valve/chordae repair.

    Main Results:

    Related Experiment Videos

    • All patients exhibited characteristic clinical signs of TI.
    • Echocardiography revealed a large right atrium, floppy tricuspid valve, and in 2 patients, a dilated right ventricle.
    • Right heart failure was present in 3 patients; 3 had a right-to-left shunt.
    • Surgical repair yielded good results in 2 patients with valve repair, satisfactory in 1, and resistance in 1.

    Conclusions:

    • Tricuspid insufficiency has distinctive clinical findings and should be considered in patients with chest trauma.
    • Surgical management requires not only annuloplasty but also evaluation and potential reconstruction of valve cusps and chordae.