title: Traumatic tricuspid regurgitation complicating endocarditis and right-to-left intracardiac shunt. A case report of successful operation.
abstract: Tricuspid regurgitation caused by blunt chest trauma is generally quite tolerable for a long time in a clinical setting. This article reports on a 68-year-old patient suffering from progressive dyspnea after a blunt chest trauma having occurred 5 months previously. Flu-like symptoms occurred for several days before severe respiratory distress began upon the day of admission. Transesophageal echocardiographic evidence of endocarditis and right-to-left shunt across a patent foramen ovale (PFO) was demonstrated. Traumatic tricuspid insufficiency in this case was complicated with infective endocarditis and right-to-left intracardiac shunt. Cyanotic congestive heart failure occurred suddenly. He underwent emergency surgical repair with success. Based on the results presented herein, we recommend that early diagnosis be made for traumatic regurgitation and endocarditis by echocardiography so as to ensure therapeutic intervention.
authors.affiliation: Department of Internal Medicine, National Taiwan University Hospital, Taipei.
authors.forename: Y B
authors.initials: YB
authors.lastname: Liu
authors.forename: Y L
authors.initials: YL
authors.lastname: Ho
authors.forename: F Y
authors.initials: FY
authors.lastname: Lin
authors.forename: Y T
authors.initials: YT
authors.lastname: Lee
mesh_terms: D000208:Acute Disease; D000368:Aged; D000900:Anti-Bacterial Agents; D001705:Bioprosthesis; D006348:Cardiac Surgical Procedures; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D005500:Follow-Up Studies; D006335:Heart Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D014261:Tricuspid Valve / Q000293:injuries; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents