Evidence map›Paper›PMID 40462204›Full record

ArticleGeneral thoracic and cardiovascular surgery cases2025

Successful repair of traumatic tricuspid regurgitation with concomitant atrial septal perforation and right ventricular pseudoaneurysm: a case report.

Kazuki Mori, Takashi Shuto, Takahiro Tashima, Tomoko Fukuda, Naohiko Takahashi, Shinji Miyamoto

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Article in General thoracic and cardiovascular surgery cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Kazuki MoriDepartment of Cardiovascular Surgery, Oita University, Oita, Japan.
Takashi ShutoDepartment of Cardiovascular Surgery, Oita University, Oita, Japan. shutot@oita-u.ac.jp.ORCID http://orcid.org/0000-0002-7150-4519
Takahiro TashimaDepartment of Cardiovascular Surgery, Oita University, Oita, Japan.
Tomoko FukudaDepartment of Cardiology and Clinical Examination, Oita University, Oita, Japan.
Naohiko TakahashiDepartment of Cardiology and Clinical Examination, Oita University, Oita, Japan.
Shinji MiyamotoDepartment of Cardiovascular Surgery, Oita University, Oita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundValvular injuries in chest trauma mostly affect the aortic and mitral valves, but traumatic tricuspid regurgitation (TR) remains rare. This report describes the successful repair of traumatic TR secondary to papillary muscle rupture complicated with right ventricular (RV) free wall injury and atrial septal perforation. CASE PRESENTATION: A 50-year-old male suffered blunt chest trauma from a tree fall, leading to multiple fractures, mediastinal hematoma, and hemoperitoneum caused by splenic bleeding. Given that heart failure worsened eventually, echocardiography was conducted on day 7, showing significant TR resulting from leaflet prolapse caused by papillary muscle rupture with concomitant 4.8 mm atrial septal perforation and focal RV free wall thinning. Nonetheless, the heart failure was responsive to medical treatment. The patient was then scheduled for surgery 1 month later. The atrial septal defect was closed via direct suture closure. The RV free wall injury presented with scarring and did not require repair. The tricuspid valve repair included suturing the ruptured medial papillary muscle to the RV wall, reconstructing the ruptured posterior leaflet chordae with prosthetic chordae, and securing an annuloplasty ring. Consequently, TR was completely controlled.

conclusionsTraumatic tricuspid valve injuries are rare. The optimal timing of surgery for traumatic TR remains controversial. However, early diagnosis and intervention are recommended to prevent progressive RV dysfunction and improve the success of tricuspid valve repair.

Indexed as

Atrial septal perforationBlunt chest traumaRight ventricular injuryTricuspid regurgitation

Identifiers

PMID40462204
PMCPMC12131366

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