title: Tricuspid valve avulsion after blunt chest trauma.
abstract: Blunt cardiac trauma causing tricuspid regurgitation is rare and is most often associated with traffic accidents. Falling from a height can also cause such injuries, resulting in hemodynamic compromise and arrhythmias. The signs of traumatic tricuspid regurgitation can appear early or be delayed, depending upon the severity of injury. We present the case of a 68-year-old woman who fell from a height onto rocks during a hike. She sustained blunt cardiac injury with complete tricuspid valve avulsion, and underwent successful repair. In addition, we review the relevant medical literature.
authors.affiliation: Department of Cardiothoracic Surgery, Wellington Hospital, Wellington 6021, New Zealand. mr.dmehrotra@gmail.com
authors.forename: Deepak
authors.initials: D
authors.lastname: Mehrotra
authors.forename: Paul
authors.initials: P
authors.lastname: Dalley
authors.forename: Barry
authors.initials: B
authors.lastname: Mahon
mesh_terms: D000058:Accidental Falls; D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000293:injuries; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery
chemical_list: D000925:Anticoagulants
keywords: Cardiovascular system/injuries; echocardiography, transesophageal; heart injuries/complications/diagnosis/physiopathology/surgery; time factors; treatment outcome; tricuspid valve/injuries/surgery; wounds, nonpenetrating/diagnosis/physiopathology