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  • Title: [A case of traumatic tricuspid regurgitation].
    Author: Kawahito K, Ino T, Yanagida O, Terada Y, Shiihara H, Shimoyama Y, Wanibuchi Y, Furuta S.
    Journal: Kyobu Geka; 1989 Nov; 42(12):1047-9. PubMed ID: 2593406.
    Abstract:
    Tricuspid regurgitation due to nonpenetrating trauma occurred in a 60-year-old male patient who had received chest trauma in a motorcycle accident. He was admitted because of shortness of breath and palpitation on exertion. On admission physical examinations revealed pulsated and dilated jugular veins, hepatomegaly, and systolic murmur. The chest X-ray film showed an enlarged heart and electrocardiograms revealed complete right bundle branch block. Echocardiography demonstrated systolic prolapse of the tricuspid anterior leaflet into the right atrium. Right atrial v wave pressure was 20 mmHg. Tricuspid valve replacement with a Carpentier-Edwards 33 mm using super interpose method was performed successfully 13 years after the trauma. At operation, it was found that the chordae tendineae of the anterior leaflet was ruptured.
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