Tricuspid Valve Repair for Traumatic Tricuspid Valve Regurgitation over 30 Years after Causative Trauma
10.4326/jjcvs.42.329
- VernacularTitle:受傷後30年以上経て三尖弁形成術を施行した外傷性三尖弁閉鎖不全症の1症例
- Author:
Tatsuro Matsuo
;
Satoshi Tobe
;
Taro Hayashi
;
Hiroki Nosho
;
Hironobu Sugiyama
;
Masahiro Yamaguchi
;
Nobuhiro Tanimura
- Publication Type:Journal Article
- Keywords:
blunt chest trauma;
tricuspid valve regurgitation;
tricuspid valve repair;
anterior leaflet chordae rupture
- From:Japanese Journal of Cardiovascular Surgery
2013;42(4):329-332
- CountryJapan
- Language:Japanese
-
Abstract:
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.
