Isolated Traumatic Tricuspid Regurgitation: Prolonged Survival without Operative Intervention

Cahill, Noel; Beller, Barry M.; Linhart, Joseph W.; Early, Ronald G.

doi:10.1378/chest.61.7.689

Cited by 22 publications

(2 citation statements)

References 13 publications

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“…Most patients experience few or no symptoms after the trauma. [9] In general, acute insufficiency of the tricuspid valve following trauma is subtle and insidious. Because of its subclinical course, progressive dilatation of the tricuspid annulus occurs, and the right ventricular dilatation and dysfunction eventually develop before surgery.…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic tricuspid insufficiency: a case report

Tütün¹,

Aksöyek²,

Parlar³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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Travma sonrası triküspit yetersizliği göğüs travmasının nadir bir komplikasyonudur. On sekiz yaşında erkek hastanın bisiklet kazasında karın ve göğüs duvarının ön kısmı yaralanıyor. Kalbin inferior diyafragmatik yüzeyindeki yır-tık tedavisini yapan doktor tarafından primer dikişle onarı-lıyor. On sekiz yıl sonra, ciddi triküspit yetersizliği (3+/4+) ile hastaneye başvurdu. Operasyonda, kapak onarıma uygun değildi ve biyoprotez kapak ile değiştirildi. İzole triküspit kapak hasarıyla ilgili hemodinamik bozulma sıklıkla iyi tolere edilir. Rekonstrüktif cerrahi erken periyotta müm-kün olabilir. Gecikmiş olgularda, onarım valvüler yapıların dejenerasyonuna bağlı bazı durumlarda uygun olmayabilir. Biyolojik protezler ile replasman uzun süreli olgularda uzun dönemde en iyi sonucu verebilir.Anahtar Sözcükler: Travma; triküspit kapak yetersizliği.Post-traumatic tricuspid insufficiency is a rare complication of chest trauma. An 18-year-old male patient was injured in a bicycle accident from his abdominal and anterior chest wall. The tear on the inferior diaphragmatic surface of the heart was repaired with primary sutures by the attending surgeon. Eighteen years later, he was admitted to the hospital with severe tricuspid regurgitation (3+/4+). During the operation, the valve was determined unsuitable for repair and was replaced with a bioprosthesis. The hemodynamic aberrations relevant to an isolated tricuspid valve injury are very often well-tolerated. Reconstructive surgery may be possible in the early period. In the late cases, repair is sometimes not feasible due to degeneration of the valvular apparatus. Replacement with a biological prosthesis may give the best long-term results in longstanding cases.

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Section: Discussionmentioning

confidence: 99%

Post-traumatic tricuspid insufficiency: a case report

Tütün¹,

Aksöyek²,

Parlar³

et al. 2011

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…2 The frequency of this disease is probably underestimated because isolated chronic tricuspid regurgitation is usually well tolerated and most patients experience few or no symptoms after trauma. 3 Because of its subtle clinical course, in most cases progressive dilatation of the tricuspid annulus occurs and right ventricular dilatation and dysfunction eventually develops before surgery.…”

Section: Discussionmentioning

confidence: 99%