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Journal Article

Citation

Khurana S, Puri R, Wong D, Dundon BK, Brown MA, Worthley MI, Worthley SG. Tex. Heart Inst. J. 2009; 36(6): 615-617.

Affiliation

Cardiovascular Investigations Unit, Royal Adelaide Hospital, Adelaide 5000, SA, Australia. suchi.khurana@gmail.com

Copyright

(Copyright © 2009, Cardiovascular Surgical Research Laboratories, Texas Heart Institute)

DOI

unavailable

PMID

20069094

PMCID

PMC2801947

Abstract

Blunt chest-wall trauma is common; however, resultant tricuspid valve rupture is rare and can be subtle in its presentation. Transthoracic echocardiography plays a key role in diagnosis. Herein, we report the case of a 42-year-old woman who sustained substantial chest-wall trauma in a high-speed motor vehicle accident. She presented a week later with symptoms of right-heart failure, secondary to flail tricuspid valve leaflets and torrential tricuspid regurgitation. The case of this patient highlights the importance of early diagnosis and elicits discussion of the mechanisms that can underlie delayed tricuspid valve rupture. Because the clinical diagnosis of tricuspid valve rupture can be difficult, we believe that echocardiography should be used early and, if necessary, repeatedly in all patients who sustain blunt chest-wall trauma.


Language: en

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