[Traumatic tricuspid regurgitation: a case report and a review of operated cases in Japan].
A 48-year-old male was admitted with chief complaints of fatigue and palpitation. He had a past history of closed chest trauma without rib fracture due to an automobile accident 7 years ago. He had been complaining of a gradual increase of palpitation since 4 years after the accident. A two-dimensional and transesophageal Doppler echocardiography revealed severe tricuspid regurgitation due to ruptured chorda tendinea of the tricuspid anterior leaflet. Cardiac catheterization revealed an elevated right atrial v wave (16 mmHg). At open heart surgery, complete tear of a chorda tendinea of the anterior leaflet and elongation of chordae tendineae of the posterior leaflet were observed. The valve was replaced with a 31 mm Carpentier-Edwards bioprosthesis. His post operative course was uneventful. A brief review of the reported surgical cases of traumatic tricuspid regurgitation in Japan is also described in this paper.
Yamada
T
T
Department of Cardiovascular Surgery, School of Medicine, Fukuoka University, Japan.
Matuyoshi
T
T
Takeno
F
F
Miura
T
T
Nakamura
M
M
Kimura
M
M
D000063:Accidents, Traffic; D002815:Chordae Tendineae / Q000293:injuries; D006335:Heart Injuries / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D014261:Tricuspid Valve / Q000293:injuries*; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000150:complications*