Traumatic tricuspid regurgitation following cardiac massage.
We report a 66-yr-old male patient who developed tricuspid regurgitation secondary to internal cardiac massage. After uneventful off-pump coronary artery bypass surgery, the subject experienced cardiac arrest in the intensive care unit. External cardiac massage was initiated and internal cardiac massage was performed eventually. A transesophageal echocardiography revealed avulsion of the anterior papillary muscle and chordae to the anterior leaflet after successful cardiopulmonary resuscitation. Emergency repair of the papillary muscle was performed under cardiopulmonary bypass.
Na
Sungwon
S
Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
Nam
Sang Beom
SB
Lee
Yong Kyung
YK
Oh
Young Jun
YJ
Kwak
Young Lan
YL
D000368:Aged; D006336:Heart Massage / Q000009:adverse effects*; D006801:Humans; D008297:Male; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology