Journal of Trauma and Injury

Delayed Diagnosis of Traumatic Rupture of Anterior Papillary Muscle of Tricuspid Valve; Importance of Trans-Esophageal Echocardiogram in the Evaluation of Major Blunt Chest Trauma: Ryan Bylsma, Mustafa Baldawi, Bruce Toporoff, Matthew Shin, Meghan Cochran-Yu, Davinder Ramsingh, Purvi Parwani, David G. Rabkin; J Trauma Inj. 2021;34(2):136-140. Published online June 4, 2021; DOI: https://doi.org/10.20408/jti.2020.0060

Abstract PDF: We present a case of delayed diagnosis of traumatic tricuspid valve rupture in a patient who was emergently brought to the operating room for repair of lacerations to the heart and liver without intraoperative transesophageal echocardiography (TEE). Initial postoperative transthoracic echocardiography (TTE) did not show structural pathology. One week later, TTE with better image quality showed severe tricuspid regurgitation. Subsequently, TEE clearly demonstrated rupture of the anterior papillary muscle and flail anterior tricuspid leaflet. The case description is followed by a brief discussion of the utility of TEE in the setting of blunt thoracic trauma.; Summary

Traumatic Tricuspid Regurgitation Cause by Chordal Rupture: A Case Report: Min Ae Keum, Hyo Keun No, Byung Joo Sun, Suk Kyung Hong; J Trauma Inj. 2015;28(2):67-70. Published online June 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.2.67

Abstract PDF: Traumatic tricuspid regurgitation is a rare complication of blunt chest trauma caused by chordal rupture, anterior papillary muscle rupture and anterior leaflet tear. Since clinical symptoms are vague, early diagnosis is difficult and some patient exhibit symptoms of right heart failure. Right heart failure has been the traditional indication for surgical treatment, such as tricuspid valve replacement. Recently, early detection using transthoracic echocardiography and surgical treatment, like valve repair, prior to overt right heart failure have been shown to better prognosis. We report a case of traumatic tricuspid regurgitation with chordal rupture in patient due to traffic accident.; Summary

A Case of Tricuspid Regurgitation after Blunt Chest Trauma: Gi Hun Choi, Jeong Yeol Seo, Moo Eob Ahn, Hee Cheol Ahn, Sung Eun Kim, Seung Hwan Cheun, Seung Yong Lee, Kwang Min Choi, Hyung Soo Kim, Jae Bong Chung, Jun Hwi Cho, Joong Bum Mun, Chan Woo Park; J Korean Soc Traumatol. 2006;19(2):188-191.

Abstract PDF: Tricuspid regurgitation after blunt chest trauma is rarely seen in the emergency department. A 19-year-old patient visited our emergency department with chest discomfort after collision with his brother while skiing. Recently, Skiing as a winter sports has become popular with the Korean people, so there is an increasing tendency for patients with diverse traumas associated with ski accidents to visit the emergency department. From simple abrasions or contusions to deadly injuries with unstable vital signs, we are seeing many kind of injuries in the emergency department. We present the case report of a patient with tricuspid regurgitation after a blunt chest trauma during the skiing.; Summary

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