Abstract

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.

Links

Publisher Full Text

Authors

Tütün U, Aksöyek A, Parlar AI, Cobanoğlu A

Institution

Department of Cardiovascular Surgery, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey. ufuktutun@yahoo.com

Source

Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES 17:6 2011 Nov pg 563-6

MeSH

Adolescent
Heart Injuries
Heart Valve Prosthesis Implantation
Humans
Male
Tricuspid Valve
Tricuspid Valve Insufficiency

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22290013