Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Mar 31:2020:8505894.
doi: 10.1155/2020/8505894. eCollection 2020.

A Case of Severe Tricuspid Regurgitation Related to Traumatic Papillary Muscle Rupture

Ruchika Meel  1 , Bongane Ngutshane  2 , Ricardo Gonçalves  3 , Shungu Mogaladi  2
Affiliations
Case Reports

A Case of Severe Tricuspid Regurgitation Related to Traumatic Papillary Muscle Rupture

Ruchika Meel et al. Case Rep Cardiol. .

Abstract

A 25-year-old male presented after a motor vehicle accident with tricuspid valve (TV) regurgitation, due to a flail TV secondary to papillary muscle rupture. We highlight the importance of three-dimensional echocardiographic imaging of the tricuspid valve and its utility in aiding a successful surgical repair.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Abrasion marks on the anterior chest wall secondary to blunt chest trauma.
Figure 2
Figure 2
(a) Transthoracic apical 4-chamber echocardiographic view showing flail anterior tricuspid valve leaflet (arrow) and (b) transoesophageal right ventricle long axis views depicting severe tricuspid valve regurgitation.
Figure 3
Figure 3
(a) Continuous wave Doppler through the tricuspid valve in 4-chamber view showing an early peaking triangular tricuspid regurgitation velocity. (b) A subcostal view showing hepatic vein systolic flow reversal due to severe tricuspid valve regurgitation on colour flow imaging.
Figure 4
Figure 4
(a) Three-dimensional view of the tricuspid valve from the right atrial aspect showing flail anterior tricuspid valve leaflet and ruptured papillary muscle (arrow) and (b) three-dimensional colour imaging showing severe tricuspid regurgitation into the right atrium.
Figure 5
Figure 5
Three-dimensional transoesophageal views of the right ventricle showing the attachment point of the anterior papillary muscle ((a) blue and (b) orange arrows) and flail anterior tricuspid leaflet with ruptured papillary muscle ((a) black arrow).
Figure 6
Figure 6
(a–c) Intraoperative images of ruptured anterior papillary muscle and its repair and (d) transthoracic postoperative right ventricular inflow view showing the repaired anterior papillary muscle (blue arrow) and annuloplasty ring (orange arrow).
See this image and copyright information in PMC

References

    1. Avegliano G., Corneli M., Conde D., Ronderos R. Traumatic rupture of the tricuspid valve and multi-modality imaging. Cardiovascular diagnosis and therapy. 2014;4(5):401–405. doi: 10.3978/j.issn.2223-3652.2014.08.06. - DOI - PMC - PubMed
    1. Parmley L. F., Manion W. C., Mattingly T. W. Nonpenetrating traumatic injury of the heart. Circulation. 1958;18(3):371–396. doi: 10.1161/01.cir.18.3.371. - DOI - PubMed
    1. Cordovil A., Fischer C. H., Rodrigues A. C. T., et al. Papillary muscle rupture after blunt chest trauma. Journal of the American Society of Echocardiography. 2006;19(4):469.e1–469.e3. doi: 10.1016/j.echo.2005.12.005. - DOI - PubMed
    1. Pasquier M., Sierro C., Yersin B., Delay D., Carron P. N. Traumatic mitral valve injury after blunt chest trauma: a case report and review of the literature. The Journal of Trauma. 2010;68(1):243–246. doi: 10.1097/TA.0b013e3181bb881e. - DOI - PubMed
    1. Sbar S., Harrison E. E. Chronic tricuspid insufficiency due to trauma. The Heart: Update III. New York: McGraw-Hill; 1980.

Publication types

LinkOut - more resources