title: Transesophageal echocardiographic diagnosis of a ruptured tricuspid valve chordae tendinae as the etiology for cardiogenic shock.
abstract: Acute tricuspid insufficiency is an uncommon cause of cardiogenic shock. Previous reported cases have involved patients with right ventricular infarction. We report a case of acute tricuspid insufficiency causing cardiogenic shock in a patient without evidence of right ventricular infarction. Transesophageal echocardiography (TEE) was used to diagnose a ruptured chordae tendinae as the etiology of tricuspid insufficiency.
authors.affiliation: Department of Medicine, Tripler Army Medical Center, Honolulu, Hawaii.
authors.forename: B S
authors.initials: BS
authors.lastname: Bolinger
authors.forename: T M
authors.initials: TM
authors.lastname: Winslow
mesh_terms: D000208:Acute Disease; D000328:Adult; D002815:Chordae Tendineae / Q000000981:diagnostic imaging; D017548:Echocardiography, Transesophageal; D005260:Female; D006341:Heart Rupture / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D012770:Shock, Cardiogenic / Q000209:etiology*; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology