title: Tricuspid insufficiency and interatrial septum rupture: a cause of persistent systemic hypoxemia after blunt chest trauma.
abstract: The case of a 45-year-old man with severe tricuspid insufficiency and interatrial septum rupture caused by a car accident is described. The patient had a rupture of the anterior papillary muscle of the tricuspid valve and right-to-left shunt through an interatrial defect with severe hypoxemia that was difficult to distinguish from that caused by pulmonary damage. Transesophageal echocardiography was extremely useful for early diagnosis.
authors.affiliation: Cardiology (Medical and Surgical) Unit, Hospital General La Paz, Universidad Autónoma, Madrid, Spain. julpereira@arrakis.es
authors.forename: J
authors.initials: J
authors.lastname: Pereira
authors.forename: J M
authors.initials: JM
authors.lastname: Oliver
authors.forename: M
authors.initials: M
authors.lastname: Mateos
authors.forename: F
authors.initials: F
authors.lastname: Cerrón
authors.forename: E
authors.initials: E
authors.lastname: Maseda
authors.forename: D
authors.initials: D
authors.lastname: Cabestrero
authors.forename: J A
authors.initials: JA
authors.lastname: Sobrino
mesh_terms: D017548:Echocardiography, Transesophageal; D006335:Heart Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D006346:Heart Septum / Q000000981:diagnostic imaging / Q000293:injuries; D006801:Humans; D000860:Hypoxia / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging