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Case Reports
. 2015;10(1):50-2.
Epub 2015 Jan 8.

Severe Tricuspid Regurgitation Diagnosed 13 Years after a Car Accident: A Case Report

Burak Acar  1 , Muhammed Suleymanoglu  1 , Cengiz Burak  1 , Burcu Mecit Demirkan  1 , Yesim Guray  1 , Omac Tufekcioglu  1 , Sinan Aydogdu  1
Affiliations
Case Reports

Severe Tricuspid Regurgitation Diagnosed 13 Years after a Car Accident: A Case Report

Burak Acar et al. J Tehran Heart Cent. 2015.

Abstract

Blunt chest traumas mostly occur due to car accidents and can cause many cardiac complications such as septal rupture, free-wall rupture, coronary artery dissection or thrombosis, heart failure, arrhythmias, and chordae and papillary muscle rupture. One of the most serious complication is tricuspid regurgitation (TR), which can be simply diagnosed by physical examination and confirmed by echocardiography. We describe a 48-year-old female patient, diagnosed with severe TR 13 years after a blunt chest trauma due to a car accident. TR was diagnosed with transthoracic echocardiography and three dimensional transthoracic echocardiography had defined the exact pathology of the tricuspid valve. The patient underwent successful surgery with bioprosthetic valve implantation and was discharged at 6th postoperative day without any complication. The patient had no problem according to the follow-up one month and six months after operation.

Keywords: Echocardiography, three-dimensional; Heart rupture; Thoracic injuries; Tricuspid valve; Tricuspid valve insufficiency.

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Figures

Figure 1.
Figure 1.
Transthoracic two-dimensional echocardiography, showing dilated right ventricle and right atrium, flail anterior leaflet of the tricuspid valve, and thickened and partly mobile posterior leaflet of the tricuspid valve from the parasternal long-axis view of the right ventricular inflow tract at mid-systole LA, Left atrium; LV, Left ventricle; RA, Right atrium; RV, Right ventricle; A, Anterior leaflet of the tricuspid valve; P, Posterior leaflet of the tricuspid valve
Figure 2.
Figure 2.
Doppler echocardiography, showing severe tricuspid insufficiency due to coaptation defect of tricuspid valve (asterisk) from the apical view tract at systole LA, Left atrium; LV, Left ventricle; RA, Right atrium; RV, Right ventricle
Figure 3.
Figure 3.
Transthoracic three-dimensional echocardiography, revealing severely dilated right ventricle and right atrium, flail and thickened anterior leaflet of the tricuspid valve, affected septal leaflet, and coaptation defect of the tricuspid valve in the apical four-chamber view at mid-systole LA, Left atrium; LV, Left ventricle; RA, Right atrium; RV, Right ventricle; S, Septal leaflet of the tricuspid valve; A, Anterior leaflet of the tricuspid valve
Figure 4.
Figure 4.
Transthoracic three-dimensional echocardiography view of tricuspid valve from the atrial aspect at ventricular systole showing destructed anterior and posterior leaflets of the tricuspid valve (arrows) and coaptation defect. Ao, Aorta; MV, Mitral valve; TV, Tricuspid valve; A, Anterior leaflet of the tricuspid valve; P, Posterior leaflet of the tricuspid valve
See this image and copyright information in PMC

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