Transesophageal echocardiographic diagnosis of a ruptured tricuspid valve chordae tendinae as the etiology for cardiogenic shock.
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.
Bolinger
B S
BS
Department of Medicine, Tripler Army Medical Center, Honolulu, Hawaii.
Winslow
T M
TM
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