ArticleJACC. Case reports2025
Late-Onset Right Heart Failure With Tricuspid Regurgitation Due to Cardiac Herniation After Blunt Thoracic Trauma.
Article in JACC. Case reports, 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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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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10 authors.
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Abstract
backgroundBlunt thoracic trauma is a rare and potentially fatal condition, often treated acutely with minimal chronic phase reports. CASE SUMMARY: A 63-year-old man with severe traumatic tricuspid regurgitation (TR), cardiac herniation, and heart constriction due to pericardial rupture suffered cardiac deformation and right heart failure 30 years after the trauma. Despite initial treatment, his symptoms worsened, prompting a referral for surgery. Chordal ruptures of the anterior tricuspid leaflets were observed intraoperatively. We performed tricuspid valve replacement and enlarged the pericardial defect to avoid constriction. DISCUSSION: This case highlights the fact that cardiac herniation and traumatic tricuspid regurgitation after blunt trauma can lead to irregular heart enlargement and right-sided heart failure during the chronic phase. There is no established treatment, and this report may provide an effective treatment strategy. TAKE-HOME MESSAGE: Surgical intervention can be effective for heart failure and ventricular deformation in chronic complications of blunt thoracic trauma.
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