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J Trauma Inj > Volume 28(2); 2015 > Article
Journal of Trauma and Injury 2015;28(2):67-70.
DOI: https://doi.org/10.20408/jti.2015.28.2.67    Published online June 30, 2015.
Traumatic Tricuspid Regurgitation Cause by Chordal Rupture: A Case Report
Min Ae Keum, Hyo Keun No, Byung Joo Sun, Suk Kyung Hong
1Division of Trauma and Surgical Critical Care, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul,Korea. skhong94@amc.seoul.kr
2Department of General Surgery, Armed Forces Capital Hospital, Kyounggido, Korea.
3Division of Cardiology, Department of Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Korea.
건삭 파열에 의한 외상성 삼천판 역류: 증례보고
금민애, 노효근1, 선병주2, 홍석경
울산대학교 의과대학 서울아산병원 외과학교실 외상 및 중환자외과,
1국군수도병원 외과,
2충남대학교 의과대학 충남대학교병원 내과학교실 심장내과
Received: 24 December 2014   • Revised: 19 March 2015   • Accepted: 15 May 2015
Abstract
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.
Key Words: Traumatic tricuspid regurgitation; Blunt chest trauma; Cardiac contusion


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