[A case of traumatic tricuspid regurgitation].
Tricuspid regurgitation due to nonpenetrating trauma occurred in a 60-year-old male patient who had received chest trauma in a motorcycle accident. He was admitted because of shortness of breath and palpitation on exertion. On admission physical examinations revealed pulsated and dilated jugular veins, hepatomegaly, and systolic murmur. The chest X-ray film showed an enlarged heart and electrocardiograms revealed complete right bundle branch block. Echocardiography demonstrated systolic prolapse of the tricuspid anterior leaflet into the right atrium. Right atrial v wave pressure was 20 mmHg. Tricuspid valve replacement with a Carpentier-Edwards 33 mm using super interpose method was performed successfully 13 years after the trauma. At operation, it was found that the chordae tendineae of the anterior leaflet was ruptured.
Kawahito
K
K
Ino
T
T
Yanagida
O
O
Terada
Y
Y
Shiihara
H
H
Shimoyama
Y
Y
Wanibuchi
Y
Y
Furuta
S
S
D002815:Chordae Tendineae / Q000293:injuries; D006335:Heart Injuries / Q000150:complications*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D014261:Tricuspid Valve; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000150:complications*