Tricuspid Valve Regurgitation following Blunt Thoracic Trauma

Kleikamp, Georg; Schnepper, U; Körtke, Heinrich; Breymann, Thomas; Körfer, Reiner

doi:10.1378/chest.102.4.1294

Cited by 29 publications

(7 citation statements)

References 12 publications

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“…17 In all reported cases, leaflet dysfunction has been the cause of the valvular dysfunction, with most having rupture of the anterior chordae tendinae with ensuing annular dilation. [11][12][13][14][15][16][17][18][19][20][21] Our patient was unique in suffering separation of the leaflet along its border with the tricuspid annulus. While delayed surgical repair can result in excellent long-term results, current literature supports early diagnosis and intervention in order to avoid right ventricular dilation and failure.…”

Section: Discussionmentioning

confidence: 99%

Blunt cardiac injury without external evidence of thoracic trauma: A report of two pediatric cases

Monroe

Willert

Saba³

et al. 2016

Cardiovascular and Thoracic Open

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Background Cardiac injury following blunt chest trauma, while rare, 1,2 may be life threatening if not detected expeditiously. It is commonly associated with obvious external signs of thoracic injury, with the majority of complications being described within 48 h of the event. 1,2 We report two pediatric cases illustrating cardiac injury without external signs of thoracic trauma, one of the cases with the cardiac complication presenting temporally remote to the traumatic event.

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Section: Discussionmentioning

confidence: 99%

Blunt cardiac injury without external evidence of thoracic trauma: A report of two pediatric cases

Monroe

Willert

Saba³

et al. 2016

Cardiovascular and Thoracic Open

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“…Attempts to repair traumatically induced tricuspid regurgitation have mainly focused on the use of synthetic material to replace ruptured chordae tendineae or papillary muscles. 1,[3][4][5] Other reports have demonstrated successful repair using the trabecular muscle elevation technique, 6 the leafl et transposition technique, 7 the double orifi ce technique, 8 or the clover technique. 9 In the present case, the respective papillary muscles were atrophic, and the anterior leafl et was relatively small.…”

Section: Discussionmentioning

confidence: 99%

Repair of traumatic tricuspid regurgitation by bicuspidization

Doi

Takahara

Mogi

et al. 2007

Gen Thorac Cardiovasc Surg

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Traumatic tricuspid regurgitation is a fairly rare complication following blunt chest trauma but not as uncommon as it was believed to be before the advent of transthoracic echocardiography. We report a case of severe tricuspid regurgitation with ruptured chordae tendineae 10 years after blunt chest trauma that was successfully repaired with a simple method. The operative technique consisted of plication of the anteroposterior commissure to create a bicuspid valve, along with ring annuloplasty.

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“…的稀な疾患であり 1,2) ，症状の発現が緩徐であるがゆえに臨床的に診断が遅れる傾向にある 3) ．二次性三尖弁閉鎖不全症と違い三尖弁自体の損傷があり，また長年の経過観察の間における形状の変化により，三尖弁置換術を選択せざるを得ない症例が報告されているが 4,5) ，近年三尖弁形成術を施行した報告が散見される [6][7][8][9][10][11]…”

Section: よく知られているが非貫通性の心外傷のなかにおいて比較unclassified

Tricuspid Valve Repair for Traumatic Tricuspid Valve Regurgitation over 30 Years after Causative Trauma

Matsuo¹,

Tobe²,

Hayashi³

et al. 2013

J. J. C. V. S.

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A 28-year-old man was involved in a traffic accident that sandwiched his chest between a wall and a truck. Shortness of breath and other symptoms started to appear several years later. Echocardiography at that time showed severe tricuspid regurgitation due to a failed valve and ruptured chordae in the anterior leaflet. He was followed up with medication. Leg edema developed at the age of 62 years and worsening symptoms of heart failure over a period of 6 months indicated a need for surgery. Intraoperative findings revealed the ruptured chordae attached to the anterior leaflet and a scarred myocardium at the septomarginal trabeculation. The tricuspid valve was surgically repaired, the anterior leaflet chordae were surgically reconstructed, an annuloplasty ring was implanted to address the tricuspid regurgitation and atrial fibrillation was treated using the Maze procedure. Surgery 34 years after trauma has improved hemodynamic cardiac function and normalized the cardiac rhythm in this patient.

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Tricuspid Valve Regurgitation following Blunt Thoracic Trauma

Cited by 29 publications

References 12 publications

Blunt cardiac injury without external evidence of thoracic trauma: A report of two pediatric cases

Blunt cardiac injury without external evidence of thoracic trauma: A report of two pediatric cases

Repair of traumatic tricuspid regurgitation by bicuspidization

Tricuspid Valve Repair for Traumatic Tricuspid Valve Regurgitation over 30 Years after Causative Trauma

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