Citation

Sunthankar S, Acheampong B, Flack E. Clin. Case Rep. 2021; 9(8): e04587.

Copyright

(Copyright © 2021, John Wiley and Sons)

DOI

10.1002/ccr3.4587

PMID

34457281

Abstract

Myocardial injury following blunt chest trauma may be difficult to detect. We advocate for cardiac screening in such scenarios. Observation versus intervention should be based on symptoms and the degree of intracardiac disease.

A patient was kicked in the chest by a horse with initial evaluation significant for chest pain, elevated troponins, and right bundle branch block. Echocardiogram demonstrated moderate tricuspid regurgitation secondary to an elongated anterior leaflet. Managed conservatively, serial echocardiograms demonstrated eventual resolution of tricuspid insufficiency and resumption of normal activities.

A 14-year-old healthy woman with no significant past medical history was seen at an outside emergency department 2 h after traumatic chest injury by a horse. She was kicked in the chest as she approached the animal from behind causing her to fall backward. She had a brief loss of consciousness following the initial trauma. She was seen in an outside emergency room with complaints of chest pain and chest contusion...

Language: en

Keywords

blunt thoracic trauma; pediatric echocardiography; tricuspid regurgitation; tricuspid valve