Traumatic Tricuspid Regurgitation Complicated with Severe Liver Dysfunction
10.4326/jjcvs.43.76
- VernacularTitle:うっ血による高度肝障害を合併した外傷性三尖弁閉鎖不全症の1例
- Author:
Takashi Kajiwara
;
Masahiro Oe
;
Satoshi Fujita
;
Hideki Tatewaki
;
Koji Fukae
- Publication Type:Journal Article
- Keywords:
traumatic tricuspid regurgitation;
liver dysfunction;
tricuspid valve replacement;
MELD score
- From:Japanese Journal of Cardiovascular Surgery
2014;43(2):76-79
- CountryJapan
- Language:Japanese
-
Abstract:
A 67-year-old man was admitted with heart failure. He had a past history of closed chest trauma due to a traffic accident at the age of 24. He had been complaining of a gradual increase of fatigue since a few years after the accident and received medical treatment. At approximately 40 years of age, he underwent cardiac catheterization and was given a diagnosis of Ebstein malformation. However surgery was not recommended. An echocardiogram showed a laceration at the tricuspid valve, enlargement of the tricuspid valve annulus and severe tricuspid regurgitation. The displacement of tricuspid valve was not present. His case was complicated with severe liver dysfunction of Child-Pugh class B and Model for End-Stage Liver Disease score 15. We performed tricuspid valve replacement with a Mosaic 31 mm tissue valve. The patient required pleurodesis for refractory severe pleural effusion at 2-months and was discharged 6 months after the operation.
