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Traumatic tricuspid valve insufficiency. Experience in thirteen patients
J A van Son1, G K Danielson, H V Schaff
1Divisions of Thoracic and Cardiovascular Surgery and Cardiovascular Diseases, Mayo Clinic, Rochester, Minn. 55905.
The Journal of Thoracic and Cardiovascular Surgery
|November 1, 1994
Summary
Surgical treatment for traumatic tricuspid insufficiency, often delayed, yields good outcomes. Early intervention may improve repair success and prevent right ventricular dysfunction.
Area of Science:
- Cardiology
- Cardiac Surgery
- Trauma Surgery
Background:
- Traumatic tricuspid insufficiency is a rare condition resulting from chest trauma.
- Patients often present with delayed diagnosis and significant right ventricular dysfunction.
Purpose of the Study:
- To evaluate the long-term outcomes of surgical treatment for traumatic tricuspid insufficiency.
- To assess the feasibility of tricuspid valve repair versus replacement in these patients.
Main Methods:
- Retrospective analysis of 13 male patients undergoing surgical correction for traumatic tricuspid insufficiency between 1964 and 1993.
- Surgical interventions included tricuspid valve repair in 5 patients and replacement in 8 patients.
- Follow-up extended up to 26 years, assessing functional class and rhythm.
Main Results:
- No early or late mortality was observed.
- At long-term follow-up, 12 patients were in New York Heart Association class I and one in class II.
- Nine patients maintained sinus rhythm, while four remained in atrial fibrillation.
Conclusions:
- Surgical management of traumatic tricuspid insufficiency can achieve good long-term functional results, even with delayed treatment.
- Earlier diagnosis and intervention could enhance tricuspid valve repair feasibility and preserve right ventricular function.
- Prompt surgical treatment may improve the likelihood of maintaining sinus rhythm postoperatively.