Outcome of surgical treatment of post-traumatic tricuspid insufficiency.
OBJECTIVE
To investigate the optimal time and procedure of surgical treatment of traumatic tricuspid insufficiency.


METHODS
From May 1984 to September 2004, eight patients underwent operation for traumatic tricuspid valve insufficiency. All patients, male, aged from 7 to 67 years median: 38 years, mean: (38.5 +/- 18.1) years. The intervals between trauma and operation ranged from 1 month to 20 years median: 19 months, mean: (52.5 +/- 80.3) months). In seven patients, tricuspid insufficiency was attributed to blunt chest trauma including vehicle accident in three patients and the other patient is a stab wound. Diagnosis was confirmed by echocardiography. Pre-operative cardiac functions in patients were classified as New York Heart Association (NYHA) classes II-IV. During operation, the anterior leaflet of the tricuspid valve was completely or partially flailed as a result of chordal rupture in all patients. Chordal rupture of septal leaflet was found in one patient. Anterior leaflet was perforated in two patients. Septal leaflet was retracted and adherent to ventricular septum in two patients. Valve repair was intended for all patients. Finally, valve repair was performed successfully in 3 patients and tricuspid replacement was performed in 5 patients.


RESULTS
No early or late death occurred. With a follow-up through clinical manifestation and echocardiography for 7-129 months median: 39 months, mean: (53.4 +/- 42.8) months, all patients were classified as NYHA class I, without any changes.


CONCLUSIONS
The satisfactory treatment of traumatic tricuspid insufficiency can be obtained by surgical treatment. Earlier surgery may increase the feasibility of tricuspid valve repair and prevent the deterioration of right ventricular function.
Department of Cardiac Surgery, Anzhen Hospital, Capital University of Medical Science, Beijing 100029, China. houxiaotong@yahoo.com.cn
Xiao-Tong
XT
Hou
Xu
X
Meng
Qi-Wen
QW
Zhou
Jian-Qun
JQ
Zhang
Chun-Lei
CL
Xu
Jian-Gang
JG
Wang
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D004452:Echocardiography; D006335:Heart Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000601:surgery*; D014951:Wounds, Stab / Q000601:surgery