Complex Surgical Repair of a Flail Tricuspid Valve After Chest Wall Trauma in a Pediatric Patient.

Autor:	Loar RW; Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas. Electronic address: robert.loar@bcm.edu., Maskatia SA; Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas., McLaughlin ES; Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas., Mott AR; Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas., Adachi I; Department of Congenital Heart Surgery, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas., Fraser CD; Department of Congenital Heart Surgery, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas.
Jazyk:	angličtina
Zdroj:	The Annals of thoracic surgery [Ann Thorac Surg] 2016 Mar; Vol. 101 (3), pp. e65-7.
DOI:	10.1016/j.athoracsur.2015.09.041
Abstrakt:	Traumatic injury to the tricuspid valve can result from severe nonpenetrating chest wall trauma. We present the case of an initially asymptomatic 11-year-old girl who was kicked in the chest by a horse. The trauma resulted in avulsed papillary muscles, ruptured chordae, and right heart failure. She underwent early tricuspid valve reconstruction and annuloplasty. We advocate for routine use of echocardiography to assess for traumatic injury to intracardiac structures. In addition, we believe that early surgical intervention may prevent right-sided heart dysfunction, atrial arrhythmias, and the need for valve replacement. (Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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