Severe Tricuspid Regurgitation Following Blunt Chest Trauma - Successful Repair by PTFE Chordal Replacement and Ring Annuloplasty: A Case Report.
- Author:
Tae Hee WON
1
;
Yong Soon WON
;
Soo Seung CHOI
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Ewha Womans University, Dong Dae Mun Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Tricuspid valve, insufficiency;
Polytetrafluoroethylene;
Annuloplasty, tricuspid;
Chordae tendineae
- MeSH:
Cardiomegaly;
Chordae Tendineae;
Dyspnea;
Echocardiography;
Humans;
Middle Aged;
Multiple Trauma;
Papillary Muscles;
Pericardial Effusion;
Polytetrafluoroethylene*;
Rupture;
Thorax*;
Tricuspid Valve Insufficiency*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(5):533-536
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a successful repair of severe traumatic tricuspid regurgitation by PTFE chordal replacement and ring annuloplasty. A 64-year-old man with multiple trauma was referred to our department because of cardio- megaly on chest roentgenogram. Echocardiography showed moderate amount of pericardial effusion and severe tricuspid regurgitation with rupture of anterior papillary muscle. But he experienced progressive dyspnea, and chest roentgenogram showed progressive cardiomegaly. He underwent operation 4 months after trauma. The nterior papillary muscle was reinserted, and the valve was repaired by PTFE chordal replacements and ring annuloplasty. Postoperatively, the patient's functional status was improved, and there was trivial tricuspid regurgitation on echocardiographic examination.