Document Detail

Traumatic tricuspid insufficiency: a case report with a review of the literature.
MedLine Citation:
PMID:  12394624     Owner:  NLM     Status:  MEDLINE    
Traumatic tricuspid insufficiency, a rare complication of blunt chest trauma, has been reported with increasing frequency during the last 40 years. Automobile accidents are the leading cause of traumatic tricuspid valve regurgitation. The most frequently reported injury is chordal rupture, followed by rupture of the anterior papillary muscle and leaflet tear, primarily of the anterior leaflet. In the acute phase of the injury, the traumatic lesion may go undetected. In the chronic phase many patients remain asymptomatic and others exhibit symptoms and signs of moderate to severe right heart failure. Clinically overt right heart failure has been the traditional indication for surgery, which usually consisted of tricuspid valve replacement. More recently, a more aggressive strategy, with surgical repair of the valve performed before deterioration of the right ventricular function occurs, has been advocated.
G Dounis; E Matsakas; J Poularas; K Papakonstantinou; A Kalogeromitros; A Karabinis
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  9     ISSN:  0969-9546     ISO Abbreviation:  Eur J Emerg Med     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-10-23     Completed Date:  2002-12-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  258-61     Citation Subset:  IM    
Intensive Care Unit, Athens General Hospital, Athens, Greece.
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MeSH Terms
Accidents, Traffic*
Treatment Outcome
Tricuspid Valve Insufficiency / diagnosis,  etiology*,  surgery
Wounds, Nonpenetrating / diagnosis,  etiology*,  surgery

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