Multiple intracardiac lesions after blunt chest trauma

Simultaneous aortic and tricuspid valve rupture after fall injury

“…This outcome would be analogous to the improved late results of mitral valve repair compared with valve replacement as in Galloway. 23 However, the small number of patients in this series does not allow statistical support of this contention.…”

Traumatic tricuspid regurgitation in a pediatric patient: Is an early diagnosis possible?

“…High-energy trauma, as in the case of traffic accidents, causes cardiac injuries in pediatric patients with an incidence of approximately 12.5% 1,3.10 , with myocardial contusion being the most common injury 1,3,6,11,12 . Valvular involvement is rarer and usually occurs in the end-diastolic phase, which is a moment of the cardiac cycle, in which intracavitary pressures peak before the valve opening 4,5,12,13 . The most commonly affected valves are almost always the aortic valve, followed by the mitral, pulmonary, and finally, the tricuspid valve 1,12 .…”

“…In the case of heart valve injury, the simplest diagnostic method is auscultation since any acute valve injury precipitates the onset of a heart murmur. However, the suspected diagnosis, in the context of serious multiple trauma, may go unnoticed, especially when the injury has no significant hemodynamic repercussions, which results in most patients being diagnosed a posteriori when the progression of an untreated valve dysfunction starts showing signs of heart failure, newly-occurring heart murmurs or arrhythmias [3][4][5][6][7][8]12,13 . It is also possible that structural valve damage ultimately causes the definitive injury days later.…”

Acute Aortic Valve Rupture Secondary to Blunt Chest Trauma

“…Intracardiac valvular injuries are uncommon after blunt chest trauma. More commonly there is aortic injury or free wall ruptures of the cardiac chambers rather than valve injury 3,4 . The aortic valve is more commonly injured, followed by the mitral and tricuspid valves.…”