title: Post-traumatic tricuspid insufficiency: a case report.
abstract: Post-traumatic tricuspid insufficiency is a rare complication of chest trauma. An 18-year-old male patient was injured in a bicycle accident from his abdominal and anterior chest wall. The tear on the inferior diaphragmatic surface of the heart was repaired with primary sutures by the attending surgeon. Eighteen years later, he was admitted to the hospital with severe tricuspid regurgitation (3+/4+). During the operation, the valve was determined unsuitable for repair and was replaced with a bioprosthesis. The hemodynamic aberrations relevant to an isolated tricuspid valve injury are very often well-tolerated. Reconstructive surgery may be possible in the early period. In the late cases, repair is sometimes not feasible due to degeneration of the valvular apparatus. Replacement with a biological prosthesis may give the best long-term results in longstanding cases.
authors.affiliation: Department of Cardiovascular Surgery, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey. ufuktutun@yahoo.com
authors.forename: Ufuk
authors.initials: U
authors.lastname: Tütün
authors.forename: Ayşen
authors.initials: A
authors.lastname: Aksöyek
authors.forename: Ali Ihsan
authors.initials: AI
authors.lastname: Parlar
authors.forename: Adnan
authors.initials: A
authors.lastname: Cobanoğlu
mesh_terms: D000293:Adolescent; D006335:Heart Injuries / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D014261:Tricuspid Valve / Q000293:injuries*; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000175:diagnosis* / Q000601:surgery