[Traumatic rupture of the tricuspid valve. Its conservative surgical treatment].
Tricuspid insufficiency caused by blunt chest trauma is rare and usually unsuspected clinically, early after trauma. Cross-sectional Echocardiography and Cardiac Catheterization are essential to establish the diagnosis. Therapy applied varies from repair to valvular replacement. We describe an 18-year-old boy with traumatic tricuspid regurgitation treated by reconstruction of the attachments of the anterosuperior leaflet and annuloplasty with a Puig-Massana ring. Six month after surgery he is fully recovered, although persist a moderate degree of tricuspid insufficiency.
Naja
I
I
Servicio de Cirugía Cardiovascular, Hospital Clínic i Provincial, Barcelona.
Barriuso
C
C
Ninot
S
S
Martínez Useros
C
C
Oller
G
G
Nolla
M
M
Pomar
J L
JL
Mulet
J
J
D000063:Accidents, Traffic; D000293:Adolescent; D004630:Emergencies; D006335:Heart Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000601:surgery; D013536:Suture Techniques; D014261:Tricuspid Valve / Q000293:injuries* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000601:surgery*
Rotura traumática de la válvula tricúspide. Tratamiento quirúrgico conservador.