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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.
DOI: https://doi.org/10.7180/kmj.2015.30.2.159
Published online: January 20, 2015
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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: aorta007@naver.com
• 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 (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • 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).
kmj-30-159f1.jpg
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).
kmj-30-159f2.jpg
Fig. 3.
Echocardiography showed well coapted tricuspid valve leaflets(arrow) at the 7th postoperative day.
kmj-30-159f3.jpg
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