Traumatic tricuspid insufficiency following blunt chest trauma, although an uncommon entity, has been reported more frequently over the past 2 decades. Increased physician awareness of the possibility of myocardial trauma accompanied by proper clinical evaluation and follow-up are the keys to a successful outcome regardless of whether a medical or surgical approach to treatment is initially selected. Early surgical correction has become the preferred treatment in most instances and may be influenced by clinical status and other associated comorbid condi tions. A patient with a combination of myocardial contusion, valve laceration, and papillary muscle rupture is presented.
Get full access to this article
View all access options for this article.
References
1.
Payne DD, DeWeese JA, Mahoney EB, et al: Surgical treatment of traumatic rupture of the normal aortic valve. Ann Thorac Surg17:223-229, 1974.
2.
Parmley LF, Manion WC, Mattingly TW: Nonpenetrating traumatic injury of the heart. Circulation18:371-396, 1958.
3.
van Son JA, Danielson GK, Schaff HV, et al: Traumatic tricuspid valve insufficiency. J Thorac and Cardiovasc Surg108:893-898, 1994.
4.
Liu SM, Sako Y., Alexander CS: Traumatic tricuspid insufficiency. Am J Cardiol26:200-204, 1970.
5.
Bailey PL, Peragallo R., Karawande SV, et al : Mitral and tricuspid valve rupture after moderate blunt chest trauma. Ann Thorac Surg69:616-618, 2000.
6.
Pereira J., Oliver JM, Mateos M., et al: Tricuspid insufficiency and interatrial septum rupture: A cause of persistent systemic hypoxemia after blunt chest trauma. J Am Soc Echocardiogr13:64-65, 2000.
7.
Veeragandham RS, Backer CL, Mavrovdis C., et al: Traumatic left ventricular aneurysm and tricuspid insufficiency in a child. Ann Thorac Surg66:247-248, 1998.
8.
Bortolotti U. , Scioti G., Milano A.: Post-traumatic tricuspid valve insufficiency. Two cases of delayed clinical manifestation. Tex Heart Inst J24:223-225, 1997.
9.
Maisano F., Lorusso R., Sandrelli L., et al : Valve repair for traumatic tricuspid regurgitation. Eur J Cardiothorac Surg10:867-873, 1996.
10.
Yasuura K., Matsuura A., Maseki T., et al: Successful repair of tricuspid regurgitation 46 years after causal blunt trauma. Scand J Thorac Cardiovasc Surg30:105-108, 1996.
