title: Acrocomia aculeata as an unreported cause of tricuspid regurgitation.
abstract: Penetrating chest trauma can produce a wide range of lesions to cardiac structures. Some patients develop signs and symptoms of residual sequelae. We describe the case of an 11-year-old boy with severe tricuspid regurgitation caused by the thorn of a palm tree. A De Vega annuloplasty of the tricuspid valve and a bidirectional Glenn procedure were successfully performed 7 years after the episode. This case illustrates the importance of a thorough investigation of possible valvular heart disease in patients who suffered from chest trauma.
authors.affiliation: Division of Cardiovascular Surgery, Ricardo Gutiérrez Children's Hospital, Buenos Aires, Argentina. ignaciolugones@hotmail.com
authors.forename: Ignacio
authors.initials: I
authors.lastname: Lugones
authors.forename: Mariana López
authors.initials: ML
authors.lastname: Daneri
authors.forename: Willy M
authors.initials: WM
authors.lastname: Conejeros
authors.forename: Maria
authors.initials: M
authors.lastname: Grippo
authors.forename: Andres J
authors.initials: AJ
authors.lastname: Schlichter
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D004452:Echocardiography; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006325:Heart Atria / Q000293:injuries / Q000601:surgery; D006335:Heart Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D018514:Plant Structures; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014950:Wounds, Penetrating / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery