Concomitant traumatic coronary artery and tricuspid valve injury: a heterogeneous presentation.
Blunt thoracic trauma resulting in both tricuspid valve rupture and coronary artery injury is uncommon, encompasses a large spectrum of presentations and, therefore, can be difficult to diagnose. This report illustrates the heterogeneous presentation and clinical course of two patients with such a combination of cardiac injuries. The patient with associated right coronary artery dissection developed progressive right ventricular failure over a 12-year period before successful surgical repair, whereas another patient with left anterior descending coronary artery thrombosis required urgent operation for acute right ventricular dysfunction and hemodynamic decompensation.
Reiss
J
J
Departments of Cardiothoracic Surgery and Cardiology, Loma Linda University Medical Center, 11175 Campus Street, Loma Linda, CA 92354, USA.
Razzouk
A J
AJ
Kiev
J
J
Bansal
R
R
Bailey
L L
LL
D000063:Accidents, Traffic; D000328:Adult; D000368:Aged; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003331:Coronary Vessels / Q000293:injuries*; D006335:Heart Injuries / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D013997:Time Factors; D014261:Tricuspid Valve / Q000293:injuries* / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery; D018497:Ventricular Dysfunction, Right / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery