Severe tricuspid regurgitation after blunt chest trauma due to chordal rupture: a rare complication

Author(s):  
Ali Yildirim ◽  
Tevfik Demir ◽  
Behcet Sevin ◽  
Gokmen Ozdemir

1992 ◽  
Vol 6 (8) ◽  
pp. 455-457 ◽  
Author(s):  
M PASIC ◽  
L VONSEGESSER ◽  
T CARREL ◽  
R JENNI ◽  
M TURINA


2021 ◽  
pp. 1-3
Author(s):  
Seyed Mohammad Saeid Ghiasi ◽  
Seyed Tayeb Moradian ◽  
Seyed Mohammad Saeid Ghiasi

Blunt chest trauma could lead to the cardiac valves damage. Flail anterior leaflet with severe tricuspid regurgitation is usually due to blunt chest trauma. This condition is very rare and can lead to deformation and failure of the right ventricle. The tricuspid regurgitation is usually easily diagnosed with transthoracic echocardiography. In this study, we want to present a case with delayed tricuspid damage following blunt chest trauma.



Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
nazila naderi ◽  
Timothy Dao ◽  
Marvin Eng

Coronary artery dissection is a rare complication following blunt chest trauma, accounting for <2% of blunt cardiac injuries. The diagnosis is frequently missed likely due to intervening concomitant injuries or sudden death. We report a case of motorcycle collision causing multiple injuries including blunt chest trauma associated with new inferior injury pattern on ECG in 43-year-old previously healthy man. Initially the patient was hypertensive and tachycardic. Electrocardiogram showed inferior ST elevation, bedside echocardiogram revealed distal apical and inferoapical hypokinesis with normal ejection fraction without pericardial effusion. Given the mechanism of injury, CT angiography and TEE first excluded the initial working diagnosis of aortic dissection. Urgent angiography showed a distal dissection of a wrap around LAD. Attempted revascularization was unsuccessful due to the inability to find the true lumen. Concomitant multiple fractures, lung contusion and a small mediastinal hematoma prevented anticoagulation therapy and conservative management ensued. Follow-up echocardiogram confirmed a sustained infarction with distal anterior and apical akinesis but preserved ejection fraction. No arrhythmia or recurrent ischemia noted during hospital admission, however he was chosen to manage conservatively for his wrist fracture due to recent infarction. This case report underscores need for a high index of suspicion for cardiac injury and the need to maintain a broad differential following chest trauma. Additionally, presence of an injury pattern should prompt confirmatory angiography to differentiate coronary injury from cardiac contusion as they have different long-term outcome.



2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
N. K. Cheung ◽  
A. James ◽  
R. Kumar

Traumatic pneumatoceles are a rare complication of blunt chest trauma in children. Although they characteristically present as small, regular shaped lesions which can be safely treated nonoperatively, larger traumatic pneumatoceles pose diagnostic and management difficulties for clinicians. This case study reports one of the largest traumatic pneumatoceles reported to date in the paediatric population, which resulted in aggressive surgical intervention for both diagnostic and treatment reasons. This case adds further evidence to the current literature that significantly large traumatic pneumatoceles with failure of initial conservative management warrant surgical exploration and management to optimise recovery and prevent complications.



2016 ◽  
Vol 3 (2) ◽  
pp. K21-K24
Author(s):  
Francesca Tedoldi ◽  
Maximilian Krisper ◽  
Clemens Köhncke ◽  
Burkert Pieske

SummaryWe present a very rare example of chronic right heart failure caused by torrent tricuspid regurgitation. Massive right heart dilatation and severe tricuspid regurgitation due to avulsion of the tricuspid valve apparatus occurred as a result of a blunt chest trauma following the explosion of a gas bottle 20 years before admission, when the patient was a young man in Vietnam. After this incident, the patient went through a phase of severe illness, which can retrospectively be identified as an acute right heart decompensation with malaise, ankle edema, and dyspnea. Blunt chest trauma caused by explosives leading to valvular dysfunction has not been reported in the literature so far. It is remarkable that the patient not only survived this trauma, but had been managing his chronic heart failure well without medication for over 20 years.Learning pointsThorough clinical and physical examination remains the key to identifying patients with relevant valvulopathies.With good acoustic windows, TTE is superior to TEE in visualizing the right heart.Traumatic avulsion of valve apparatus is a rare but potentially life-threatening complication of blunt chest trauma and must be actively sought for. Transthoracic echocardiography remains the method of choice in these patients.



2015 ◽  
Vol 115 ◽  
pp. S159
Author(s):  
Kamuran Erkoc ◽  
Hakan Ozkan ◽  
Osman Tiryakioglu ◽  
Ahmet Seckin Cetinkaya ◽  
Selma Kenar Tiryakioglu ◽  
...  


2004 ◽  
Vol 117 (11) ◽  
pp. 890-891 ◽  
Author(s):  
Pai-Feng Hsu ◽  
Hsing-Bang Leu ◽  
Tse-Min Lu ◽  
Wen-Chung Yu ◽  
Tsui-Lieh Hsu


2020 ◽  
Vol 07 + 07h + 07Sp (2. 2, 1) ◽  
Author(s):  
Mohammad Davood Sharifi ◽  
◽  
, Maryam Ziadi Lotfabadi ◽  
Behzad Shahi ◽  
◽  
...  




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