[Asymptomatic course of severe tricuspid valve insufficiency with ateroseptal infarct, coronary fistula and ventricular septum defect as a sequela of blunt thoracic trauma].
Traumatic tricuspid valve insufficiency is a rare in vivo finding, especially in combination with other traumatic cardiac injuries like ventricular septal defect, myocardial infarction, and traumatic coronary fistula. Two-dimensional and, more recently, colorcoded Doppler echocardiography have gained importance for the diagnosis of tricuspid insufficiency. Patients with traumatic tricuspid insufficiency who survive the acute trauma, may remain asymptomatic for many years and even decades. If symptoms develop, tricuspid valve replacement appears feasible even after many years.
Renner
U
U
1. Med. Klinik, Klinikum rechts der Isar, Technischen Universität München.
Busch
U W
UW
Sebening
H
H
von Bibra
H
H
Bauer
R
R
D000328:Adult; D006328:Cardiac Catheterization; D003327:Coronary Disease / Q000175:diagnosis*; D003331:Coronary Vessels / Q000293:injuries; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D005402:Fistula / Q000175:diagnosis*; D006327:Heart Block / Q000175:diagnosis; D006335:Heart Injuries / Q000175:diagnosis*; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis*; D006346:Heart Septum / Q000293:injuries; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis*; D014261:Tricuspid Valve / Q000293:injuries; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis*
Asymptomatischer Verlauf einer schweren Trikuspidalklappeninsuffizienz mit Anteroseptalinfarkt, Koronarfistel und Ventrikelseptumdefekt als Folge eines stumpfen Thoraxtraumas.