Posttraumatic tricuspid insufficiency successfully repaired by conventional technique.
A 22-year-old man developed exertional dyspnea 2 years after blunt chest trauma due to a horse kick. Preoperative echocardiography showed severe tricuspid insufficiency (TI) caused by chordal rupture and prolapse of the anterior leaflet. A novel repair technique, the "clover technique," was applied, but was unsuccessful in this case. The valve was then repaired successfully using conventional techniques, that is, insertion of an artificial chordae, plication of the prolapsing leaflet, and DeVega's annuloplasty. We present here a brief review of posttraumatic TI, and discuss effective and less expensive techniques for repair.
Department of Thoracic and Cardiovascular Surgery, Mito Saiseikai General Hospital, Mito City, Japan. statebe@yahoo.com
Shoh
S
Tatebe
Akifumi
A
Uehara
Mayumi
M
Shinonaga
Setsuo
S
Kuraoka
D000328:Adult; D004417:Dyspnea / Q000209:etiology*; D006801:Humans; D008297:Male; D013898:Thoracic Injuries / Q000150:complications*; D013997:Time Factors; D014261:Tricuspid Valve / Q000503:physiopathology / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000150:complications*