Heterogeneity of traumatic injury of the tricuspid valve: A report of four cases

Summary Tricuspid valve injury causing severe tricuspid regurgitation is the most common cardiac complication following blunt chest trauma. We present four cases with different clinical presentations that included pleural effusion, arrhythmias, cyanosis, peripheral edema and dyspnea, with varying on...

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Published in:Wiener Klinische Wochenschrift 2008-08, Vol.120 (15-16), p.499-503
Main Authors: Schuster, Ingrid, Graf, Senta, Klaar, Ursula, Seitelberger, Rainald, Mundigler, Gerald, Binder, Thomas
Format: Article
Language:English
Subjects:
Adult
Case Report
Endocrinology
Female
Gastroenterology
Heart Injuries - complications
Heart Injuries - diagnosis
Humans
Internal Medicine
Male
Medicine
Medicine & Public Health
Middle Aged
Pneumology/Respiratory System
Tricuspid Valve - injuries
Tricuspid Valve Insufficiency - diagnosis
Tricuspid Valve Insufficiency - etiology
Tricuspid Valve Insufficiency - prevention & control
Wounds, Penetrating - complications
Young Adult
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Summary:Summary Tricuspid valve injury causing severe tricuspid regurgitation is the most common cardiac complication following blunt chest trauma. We present four cases with different clinical presentations that included pleural effusion, arrhythmias, cyanosis, peripheral edema and dyspnea, with varying onset of symptoms. Echocardiographic evaluation and intraoperative findings in these patients revealed a broad spectrum of injury to the tricuspid valve including papillary muscle and chordal rupture, chordal elongation and leaflet perforation. Because surgical treatment is required in most patients and since the diagnosis is often delayed, we believe that early echocardiographic evaluation is required in all patients with blunt chest trauma, in particular if clinical symptoms of right heart failure are present.
ISSN:0043-5325
1613-7671
DOI:10.1007/s00508-008-1012-7