Tricuspid valve chordal rupture due to airbag injury and review of pathophysiological mechanisms.
Blunt trauma to the chest is associated with significant morbidity and mortality. The latter is usually due to an aortic transection, whereas the former is related to myocardial contusion, cardiac valve injury, coronary artery disruption and intracardiac shunts due to the formation of septal defects. The main mechanisms causing these injuries are due to the sudden deceleration force and compression within the chest cavity. Moreover, there is also the sudden increase in intravascular pressure due to a mechanical compression effect and a hormonal adrenergic surge during the event. We report a case of a tricuspid valve injury caused by the deployment of the airbag during a high-speed impact car accident and the subsequent damage to the tricuspid valve chordal mechanism. The patient's management and the pathophysiological mechanisms involved in the injury are reviewed.
Cardiothoracic Unit,  Heart and Lung Centre, Wolverhampton,  UK.
Joyce
J
Thekkudan
Heyman
H
Luckraz
Alex
A
Ng
Mike
M
Norell
D000063:Accidents, Traffic; D017278:Air Bags / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D006335:Heart Injuries / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010210:Papillary Muscles / Q000000981:diagnostic imaging / Q000293:injuries*; D012421:Rupture; D014261:Tricuspid Valve / Q000293:injuries*; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D016278:Ventricular Function, Right / Q000502:physiology*; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*