• Kyobu Geka · Feb 1996

    Review Case Reports

    [Traumatic tricuspid regurgitation: a case report and a review of operated cases in Japan].

    • T Yamada, T Matuyoshi, F Takeno, T Miura, M Nakamura, and M Kimura.
    • Department of Cardiovascular Surgery, School of Medicine, Fukuoka University, Japan.
    • Kyobu Geka. 1996 Feb 1;49(2):146-50.

    AbstractA 48-year-old male was admitted with chief complaints of fatigue and palpitation. He had a past history of closed chest trauma without rib fracture due to an automobile accident 7 years ago. He had been complaining of a gradual increase of palpitation since 4 years after the accident. A two-dimensional and transesophageal Doppler echocardiography revealed severe tricuspid regurgitation due to ruptured chorda tendinea of the tricuspid anterior leaflet. Cardiac catheterization revealed an elevated right atrial v wave (16 mmHg). At open heart surgery, complete tear of a chorda tendinea of the anterior leaflet and elongation of chordae tendineae of the posterior leaflet were observed. The valve was replaced with a 31 mm Carpentier-Edwards bioprosthesis. His post operative course was uneventful. A brief review of the reported surgical cases of traumatic tricuspid regurgitation in Japan is also described in this paper.

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