Tricuspid Regurgitation Due to Blunt Chest Trauma: Report of a Case and Review of the Literature

A 25-year-old female developed high-grade atrioventricular block and markedly elevated central venous pressure after sustaining a crushing injury to the chest while driving a car. An echocardiographic examination with color Doppler revealed severe tricuspid regurgitation due to a torn papillary musc...

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Veröffentlicht in:Japanese Heart Journal 1993, Vol.34(3), pp.361-375
Hauptverfasser: HIRATA, Kazuhito, KYUSHIMA, Masahiro, ASATO, Hiroaki, MOTOTAKE, Hidemitsu, IE, Tomotsugu, HENZAN, Eisei, MAESHIRO, Masao
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container_end_page 375
container_issue 3
container_start_page 361
container_title Japanese Heart Journal
container_volume 34
creator HIRATA, Kazuhito
KYUSHIMA, Masahiro
ASATO, Hiroaki
MOTOTAKE, Hidemitsu
IE, Tomotsugu
HENZAN, Eisei
MAESHIRO, Masao
description A 25-year-old female developed high-grade atrioventricular block and markedly elevated central venous pressure after sustaining a crushing injury to the chest while driving a car. An echocardiographic examination with color Doppler revealed severe tricuspid regurgitation due to a torn papillary muscle. An extensive review of the literature showed the following: 1) correct diagnosis is often delayed because of coexisting multisystem involvement and the subtleness of abnormal physical signs, 2) identification of abnormally elevated right atrial pressure with a prominent "v" wave, and characteristic electrocardiogram appeared to be the key to early diagnosis, and 3) the final diagnosis may be confirmed by echocardiography with Doppler and/or cardiac catheterization. The role of echocardiographic examination with color Doppler technique deserves special emphasis because the final diagnosis can be easily reached during the acute phase at the bedside noninvasively.
doi_str_mv 10.1536/ihj.34.361
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source J-STAGE Free; MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adult
Biological and medical sciences
Blunt chest trauma
Echocardiography
Echocardiography, Doppler
Female
Humans
Injuries of the thorax. Foreign bodies. Diseases due to physical agents
Medical sciences
Papillary Muscles - injuries
Thoracic Injuries - complications
Traumas. Diseases due to physical agents
Tricuspid regurgitation
Tricuspid Valve Insufficiency - diagnostic imaging
Tricuspid Valve Insufficiency - etiology
Wounds, Nonpenetrating - complications
title Tricuspid Regurgitation Due to Blunt Chest Trauma: Report of a Case and Review of the Literature
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