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 |
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container_title | Japanese Heart Journal |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0021-4868</identifier><identifier>EISSN: 1348-673X</identifier><identifier>DOI: 10.1536/ihj.34.361</identifier><identifier>PMID: 8411641</identifier><identifier>CODEN: JHEJAR</identifier><language>eng</language><publisher>Tokyo: International Heart Journal Association</publisher><subject>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</subject><ispartof>Japanese Heart Journal, 1993, Vol.34(3), pp.361-375</ispartof><rights>by International Heart Journal Association</rights><rights>1993 INIST-CNRS</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-aecf4f16d3e373b67d5cfc8a448b13465bcc3b811eebfbd8dcf18c9eff0e7eab3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1881,4021,27921,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4892213$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8411641$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HIRATA, Kazuhito</creatorcontrib><creatorcontrib>KYUSHIMA, Masahiro</creatorcontrib><creatorcontrib>ASATO, Hiroaki</creatorcontrib><creatorcontrib>MOTOTAKE, Hidemitsu</creatorcontrib><creatorcontrib>IE, Tomotsugu</creatorcontrib><creatorcontrib>HENZAN, Eisei</creatorcontrib><creatorcontrib>MAESHIRO, Masao</creatorcontrib><title>Tricuspid Regurgitation Due to Blunt Chest Trauma: Report of a Case and Review of the Literature</title><title>Japanese Heart Journal</title><addtitle>Jpn Heart J</addtitle><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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Blunt chest trauma</subject><subject>Echocardiography</subject><subject>Echocardiography, Doppler</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the thorax. Foreign bodies. Diseases due to physical agents</subject><subject>Medical sciences</subject><subject>Papillary Muscles - injuries</subject><subject>Thoracic Injuries - complications</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Tricuspid regurgitation</subject><subject>Tricuspid Valve Insufficiency - diagnostic imaging</subject><subject>Tricuspid Valve Insufficiency - etiology</subject><subject>Wounds, Nonpenetrating - complications</subject><issn>0021-4868</issn><issn>1348-673X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM1LAzEQxYMotVYv3oU9iAdha2aTZtOj1k8oCFLBW8hmJ23KftRk9-B_b7RLLzOH9-O9mUfIJdApzJi4c5vtlPEpE3BExsC4TEXOvo7JmNIMUi6FPCVnIWwpBZFJNiIjyQEEhzGBlXemDztXJh-47v3adbpzbZM89ph0bfJQ9U2XLDYYumTldV_rc3JidRXwYtgT8vn8tFq8psv3l7fF_TI1PGddqtFYbkGUDFnOCpGXM2ON1JzLIp4oZoUxrJAAiIUtSlkaC9LM0VqKOeqCTcjN3nfn2-8-5qvaBYNVpRts-6ByQeMP0XtCbveg8W0IHq3aeVdr_6OAqr9-VOxHMa5iPxG-Glz7osbygA6FRP160HUwurJeN8aFA8blPMuARWyxx7ah02s86Np3zlT4lwhzQf9ThyHgoJqN9gob9gsTkIXK</recordid><startdate>1993</startdate><enddate>1993</enddate><creator>HIRATA, Kazuhito</creator><creator>KYUSHIMA, Masahiro</creator><creator>ASATO, Hiroaki</creator><creator>MOTOTAKE, Hidemitsu</creator><creator>IE, Tomotsugu</creator><creator>HENZAN, Eisei</creator><creator>MAESHIRO, Masao</creator><general>International Heart Journal Association</general><general>Japanese Heart Journal Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1993</creationdate><title>Tricuspid Regurgitation Due to Blunt Chest Trauma</title><author>HIRATA, Kazuhito ; KYUSHIMA, Masahiro ; ASATO, Hiroaki ; MOTOTAKE, Hidemitsu ; IE, Tomotsugu ; HENZAN, Eisei ; MAESHIRO, Masao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-aecf4f16d3e373b67d5cfc8a448b13465bcc3b811eebfbd8dcf18c9eff0e7eab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Blunt chest trauma</topic><topic>Echocardiography</topic><topic>Echocardiography, Doppler</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries of the thorax. Foreign bodies. Diseases due to physical agents</topic><topic>Medical sciences</topic><topic>Papillary Muscles - injuries</topic><topic>Thoracic Injuries - complications</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Tricuspid regurgitation</topic><topic>Tricuspid Valve Insufficiency - diagnostic imaging</topic><topic>Tricuspid Valve Insufficiency - etiology</topic><topic>Wounds, Nonpenetrating - complications</topic><toplevel>online_resources</toplevel><creatorcontrib>HIRATA, Kazuhito</creatorcontrib><creatorcontrib>KYUSHIMA, Masahiro</creatorcontrib><creatorcontrib>ASATO, Hiroaki</creatorcontrib><creatorcontrib>MOTOTAKE, Hidemitsu</creatorcontrib><creatorcontrib>IE, Tomotsugu</creatorcontrib><creatorcontrib>HENZAN, Eisei</creatorcontrib><creatorcontrib>MAESHIRO, Masao</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese Heart Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HIRATA, Kazuhito</au><au>KYUSHIMA, Masahiro</au><au>ASATO, Hiroaki</au><au>MOTOTAKE, Hidemitsu</au><au>IE, Tomotsugu</au><au>HENZAN, Eisei</au><au>MAESHIRO, Masao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tricuspid Regurgitation Due to Blunt Chest Trauma: Report of a Case and Review of the Literature</atitle><jtitle>Japanese Heart Journal</jtitle><addtitle>Jpn Heart J</addtitle><date>1993</date><risdate>1993</risdate><volume>34</volume><issue>3</issue><spage>361</spage><epage>375</epage><pages>361-375</pages><issn>0021-4868</issn><eissn>1348-673X</eissn><coden>JHEJAR</coden><abstract>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.</abstract><cop>Tokyo</cop><pub>International Heart Journal Association</pub><pmid>8411641</pmid><doi>10.1536/ihj.34.361</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record> |
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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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