Traumatic tricuspid papillary muscle and chordae rupture: emerging role of three-dimensional echocardiography.
We describe a patient with blunt traumatic chest injury in whom three-dimensional transthoracic echocardiography (3DTTE) confirmed the findings of a flail anterior tricuspid valve leaflet and ruptured anterior papillary muscle seen on two-dimensional transthoracic echocardiography, and in addition identified multiple chordae tendinae rupture of the posterior leaflet. Open heart surgery confirmed the findings. The emerging role of 3DTTE in defining the true extent of traumatic tricuspid valvular injury is highlighted.
Reddy
Venkataramana K
VK
Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, Alabama 35249, USA.
Nanda
Sudip
S
Bandarupalli
Naveen
N
Pothineni
Koteswara Rao
KR
Nanda
Navin C
NC
D000063:Accidents, Traffic; D000328:Adult; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D006801:Humans; D008297:Male; D010210:Papillary Muscles / Q000000981:diagnostic imaging* / Q000293:injuries*; D012421:Rupture / Q000000981:diagnostic imaging; D013898:Thoracic Injuries / Q000000981:diagnostic imaging*; D014261:Tricuspid Valve / Q000000981:diagnostic imaging* / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging*