A successful valve repair case of isolated tricuspid regurgitation due to traumatic lacerated papillary muscle of the tricuspid valve

A case of tricuspid valve regurgitation due to a non-penetrating chest trauma was presented. This case involves a 20-year-old man, who was admitted to a nearby hospital because of rib fracture, mandibular fracture, and hemorrhage of the left hemopneumothorax, caused by a traffic accident. Palpitatio...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 1998-01, Vol.46 (1), p.91-95
Main Authors: Sakuragawa, H, Koyama, N, Watanabe, Y, Yoshihara, K, Kawamura, K, Yamazaki, S
Format: Article
Language:jpn ; eng
Subjects:
Adult
Heart Injuries - complications
Humans
Male
Papillary Muscles - injuries
Papillary Muscles - surgery
Rib Fractures - complications
Tricuspid Valve Insufficiency - etiology
Tricuspid Valve Insufficiency - surgery
Wounds, Nonpenetrating - complications
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Summary:A case of tricuspid valve regurgitation due to a non-penetrating chest trauma was presented. This case involves a 20-year-old man, who was admitted to a nearby hospital because of rib fracture, mandibular fracture, and hemorrhage of the left hemopneumothorax, caused by a traffic accident. Palpitation and chest discomfort were observed at admission time, but there was no follow-up. Tricuspid regurgitation was pointed out during surgery for the mandibular fracture, and he continued follow up treatment at an outpatient clinic. However his palpitation and chest discomfort worsened, and he was admitted to our department 8 month after injury. During surgery to repair the tricuspid valve, a papillary muscle rupture, valve cusp laceration, and anulus dilatation were found. We performed a papillary muscle repair (chorda tendineae reconstruction), valve cusp suture, and annuloplasty. Absence of the left pericardium was observed during the operation. We reported valve repair of traumatic tricuspid regurgitation which with papillary muscle rupture. Due to its rarity and the fact that there has been no reported cases of papillary muscle repair for traumatic tricuspid regurgitation in Japan, we used researched information on the subject.
ISSN:1344-4964
1863-6705
1863-2092
1863-6713
DOI:10.1007/bf03217729