Skip Navigation
Skip to contents

KMJ : Kosin Medical Journal



Page Path
HOME > Kosin Med J > Volume 30(2); 2015 > Article
Case Report
Post-traumatic tricuspid regurgitation with anterior papillary muscle rupture, corrected by papillary muscle reimplantation
Hae Young Lee, Sung Ho Cho, Jong In Kim
Kosin Medical Journal 2015;30(2):159-162.
Published online: January 20, 2015

Department of Thoracic & Cardiovase Surgery, College of Medicine, Kosin University, Busan, Korea

Corresponding Author: Hae Young Lee, Department of Thoracic & Cardiovase Surgery, College of Medicine, Kosin University, 262, Gamcheon-ro, Seo-gu, Busan 49267, Korea TEL: +82-51-990-6466 FAX: +82-51-990-3066 E-mail:
• Received: April 17, 2014   • Accepted: February 24, 2015

Copyright © 2015 Kosin University School of Medicine Proceedings

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • 1 Download
  • A 60-year-old male patient with blunt chest trauma was transferred to our facility because of unstable vital signs and pericardial effusion. These conditions occurred after orthopedic surgery to repair multiple left finger fractures at a local medical center. Trans-thoracic echocardiography showed severe tricuspid regurgitation and he underwent papillary muscle reimplantation and tricuspid annuloplasty open heart surgery for post-traumatic tricuspid regurgitation with anterior papillary muscle rupture. We report early surgical traumatic valve disease correction without complications.
Fig. 1.
Chest computed tomography scan showed small amounts of pericardial effusion anterior to the right ventricle and right pleural effusion(A). Echocardiography showed that the tricuspid valve anterior leaflet had flailed papillary muscle(arrow)(B). Doppler echocardiography showed severe regurgitant flow at the right atrioventricular level during systole(C).
Fig. 2.
Intraoperative gross findings: Ruptured papillary muscle (PM) of the tricuspid valve anterior leaflet(arrow)(A), right ventricle ruptured PM stump(arrow)(B), and PM reimplantation and tricuspid annuloplasty with a 33mm Duranring(C).
Fig. 3.
Echocardiography showed well coapted tricuspid valve leaflets(arrow) at the 7th postoperative day.
  • 1. Gayet C, Pierre B, Delahaye JP, Champsaur G, Fouet XA, Rueff P. Traumatic tricuspid insufficiency: An underdiagnosed Disease. Chest 1987;92:429–32.ArticlePubMed
  • 2. WG Ma, GH Luo, HS Sun, JP Xu, SS Hu, XD Zhu. Surgical treatment of traumatic tricuspid insufficiency: experience in 13 cases. Ann Thorac Surg 2010;90:1934–8.ArticlePubMed
  • 3. Maisano F, Lorusso R, Sandrelli L, Torracca L, Coletti G, Canna G, et al. Valve repair for traumatic tricuspid regurgitation. Eur J Cardiothorac Surg 1996;10:867–73.ArticlePubMed
  • 4. Matthew J. Wall, Jr, Ernesto R. Soltero. Trauma to cardiac valves. Current opinion in cardiology 2002;17:188–92.ArticlePubMed
  • 5. Naja I, Pomar JL, Barriuso C, Mestrea C, Mulet J. Traumatic tricuspid regurgitation. J Cardiovasc Surg (Torino) 1992;33:256–7.PubMed
  • 6. Shapiro MJ, Yanofsky SD, Trapp J, Durham RM, Labovitz A, Sear JE, et al. Cardiovascular evaluation in blunt thoracic trauma using transesophageal echocardiography. 1991;31:835–40.
  • 7. Bang JH, Woo JS, Choi PJ, Park KJ, Jeong SS, Yi JH. Repair of ruptured papillary muscle of the tricuspid valve as a cause of tricuspid insufficiency following blunt chest trauma. Korean J Thorac Cardiovasc Surg 2010;43:413–6.Article
  • 8. De Bonis M, Lapenna E, La Canna G, Grimaldi A, Maisano F, Torracca L, et al. A novel technique for correction of severe tricuspid valve regurgitation due to complex lesions. Eur J Cardiothorac Surg 2004;25:760–5.ArticlePubMed

Figure & Data



    Citations to this article as recorded by  

      • PubReader PubReader
      • ePub LinkePub Link
      • Cite
        export Copy
      • Download Citation
        Download Citation
        Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

        • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
        • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
        • Citation for the content below
        Post-traumatic tricuspid regurgitation with anterior papillary muscle rupture, corrected by papillary muscle reimplantation
        Kosin Med J. 2015;30(2):159-162.   Published online January 20, 2015
      • XML DownloadXML Download

      KMJ : Kosin Medical Journal