Heterogeneity of traumatic injury of the tricuspid valve: A report of four cases
Autor: | Ingrid Schuster, Senta Graf, Thomas Binder, Gerald Mundigler, Rainald Seitelberger, Ursula Klaar |
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Rok vydání: | 2008 |
Předmět: |
Adult
Male medicine.medical_specialty Pleural effusion Perforation (oil well) Peripheral edema Wounds Penetrating Regurgitation (circulation) Klinikai orvostudományok Young Adult Blunt Internal medicine medicine Humans cardiovascular diseases Papillary muscle Tricuspid valve business.industry Orvostudományok General Medicine Middle Aged medicine.disease Tricuspid Valve Insufficiency Surgery medicine.anatomical_structure Traumatic injury Heart Injuries cardiovascular system Cardiology Female Tricuspid Valve medicine.symptom business |
Zdroj: | Wiener klinische Wochenschrift. 120:499-503 |
ISSN: | 1613-7671 0043-5325 |
DOI: | 10.1007/s00508-008-1012-7 |
Popis: | Tricuspid valve injury causing severe tricuspid regurgitation is the most common cardiac complication following blunt chest trauma. We present four cases with different clinical presentations that included pleural effusion, arrhythmias, cyanosis, peripheral edema and dyspnea, with varying onset of symptoms. Echocardiographic evaluation and intraoperative findings in these patients revealed a broad spectrum of injury to the tricuspid valve including papillary muscle and chordal rupture, chordal elongation and leaflet perforation. Because surgical treatment is required in most patients and since the diagnosis is often delayed, we believe that early echocardiographic evaluation is required in all patients with blunt chest trauma, in particular if clinical symptoms of right heart failure are present. |
Databáze: | OpenAIRE |
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