title: Correction of traumatic tricuspid regurgitation using the double orifice technique.
abstract: We present a case of acute traumatic tricuspid regurgitation in a 39-year-old man who was involved in a motor vehicle accident. A large ecchymotic region over the anterior chest wall prompted evaluation by both transthoracic and transesophageal echocardiography which confirmed the valvular injury. At surgery, valvular incompetence was found to be the result of a flail anterior leaflet due to papillary muscle rupture. The valve was successfully repaired using a single stitch double orifice technique in combination with a ring annuloplasty. The valve remains competent 18 months after surgery.
authors.affiliation: Department of Surgery and School of Medicine, University of Pennsylvania, Philadelphia 19104, USA.
authors.forename: Sina L
authors.initials: SL
authors.lastname: Moainie
authors.forename: T Sloane
authors.initials: TS
authors.lastname: Guy
authors.forename: Ted
authors.initials: T
authors.lastname: Plappert
authors.forename: Joseph H
authors.initials: JH
authors.lastname: Gorman
authors.forename: Robert C
authors.initials: RC
authors.lastname: Gorman
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D006348:Cardiac Surgical Procedures; D006335:Heart Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D010210:Papillary Muscles / Q000293:injuries*; D012421:Rupture; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery*