A Case of Native Valve Salvage for 8 Years Longstanding Ruptured Tricuspid Valve after Blunt Chest Trauma.
10.4070/kcj.2004.34.4.415
- Author:
Hyun Ju SONG
1
;
Seung Hyun NAM
;
Young Ju CHOI
;
Seong Hoon PARK
;
Si Hoon PARK
;
Jae Jin HAN
Author Information
1. Department of Internal Medicine, College of Medicine, Ewha Womans University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Blunt injuries;
Tricuspid valve regurgitation;
Echocardiography;
Transesophageal echocardiography
- MeSH:
Diagnosis;
Dilatation;
Dyspnea;
Echocardiography;
Echocardiography, Transesophageal;
Heart Failure;
Humans;
Incidence;
Middle Aged;
Prolapse;
Thorax*;
Tricuspid Valve Insufficiency;
Tricuspid Valve*;
Wounds, Nonpenetrating
- From:Korean Circulation Journal
2004;34(4):415-419
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although very rare, the incidence of tricuspid valve regurgitation after blunt chest trauma has risen in line with the increasing rate of car accidents and steering wheel trauma. It is easy to miss the diagnosis of tricuspid valve regurgitation following blunt chest trauma because most patients feel no symptoms at trauma, and the condition is sometimes overlooked for a long period of time due to its mild symptoms. A 49-year-old man suffered dyspnea on exertion for 1 month due to right heart failure 8 years after accidentally falling from a third floor. Preoperative echocardiography revealed severe tricuspid valve regurgitation resulting from prolapse of the anterior leaflet with annular dilatation. The patient underwent tricuspid valvuloplasty with a 36-mm Carpentier tricuspid ring. Intraoperative transesophageal echocardiography showed mild tricuspid valve regurgitation. We report a case of successful native valve salvage of ruptured tricuspid valve after blunt chest trauma, and present a review of the relevant literature.