Tricuspid insufficiency and interatrial septum rupture: a cause of persistent systemic hypoxemia after blunt chest trauma.
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.
Pereira
J
J
Cardiology (Medical and Surgical) Unit, Hospital General La Paz, Universidad Autónoma, Madrid, Spain. julpereira@arrakis.es
Oliver
J M
JM
Mateos
M
M
Cerrón
F
F
Maseda
E
E
Cabestrero
D
D
Sobrino
J A
JA
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