scholarly journals A Case of Severe Tricuspid Regurgitation Related to Traumatic Papillary Muscle Rupture

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Ruchika Meel ◽  
Bongane Ngutshane ◽  
Ricardo Gonçalves ◽  
Shungu Mogaladi
Keyword(s):  
Tricuspid Valve ◽  
Papillary Muscle ◽  
Surgical Repair ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Three Dimensional ◽  
Papillary Muscle Rupture ◽  
Severe Tricuspid Regurgitation ◽  
Vehicle Accident ◽  
Muscle Rupture

A 25-year-old male presented after a motor vehicle accident with tricuspid valve (TV) regurgitation, due to a flail TV secondary to papillary muscle rupture. We highlight the importance of three-dimensional echocardiographic imaging of the tricuspid valve and its utility in aiding a successful surgical repair.

scholarly journals Tricuspid valve regurgitation management with valve replacement Late Presentation of Traumatic Tricuspid Valve Regurgitation after Motor Vehicle Accident -- Role of 3D Echocardiography

2021 ◽  
Author(s):  
Hong Seok Lee ◽  
Tasneem Naqvi
Keyword(s):  
Tricuspid Valve ◽  
High Speed ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Three Dimensional ◽  
Late Presentation ◽  
Valve Regurgitation ◽  
Tricuspid Valve Regurgitation ◽  
Vehicle Accident ◽  
History Of

A 51-year-old unrestrained female driver with history of a high-speed motor vehicle accident had been followed due to progressively worsening tricuspid valve regurgitation (TR). Three dimensional (3D0 transesophageal echocardiogram (TEE) showed a TR jet through a perforation in the an avulsed anterior leaflet from the tricuspid valve and another central tricuspid TR jet regurgitation due to tricuspid leafletresulted from malcoaptation of the leaflets from tricuspid annulus annular dilatation.

Myocarditis, flail tricuspid valve, and normal rhythm: an exceptional form of neonatal cardiac lupus

2017 ◽  
Vol 27 (7) ◽  
pp. 1419-1422
Author(s):  
María-Teresa González-López ◽  
Ramón Pérez-Caballero-Martínez ◽  
Juan-Miguel Gil-Jaurena
Keyword(s):  
Autoimmune Disease ◽  
Surgical Management ◽  
Papillary Muscle ◽  
Tricuspid Regurgitation ◽  
Papillary Muscle Rupture ◽  
Severe Tricuspid Regurgitation ◽  
Conduction Disturbances ◽  
Muscle Rupture ◽  
Tricuspid Repair

AbstractNeonatal cardiac lupus is a rare, passively acquired autoimmune disease. We report a case of in utero myocarditis, confirmed postnatally, with papillary muscle rupture and severe tricuspid regurgitation after birth in the absence of conduction disturbances. Tricuspid repair was successfully performed with polytetrafluoroethylene neochordae. In this article, we discuss the pathophysiology, medical and surgical management, and implications at follow-up in this unique scenario.

scholarly journals Posttraumatic Transdiaphragmatic Intercostal Hernia: Report of a Case and Review of the Literature

2015 ◽  
Vol 100 (3) ◽  
pp. 444-449 ◽  
Author(s):  
Vasileios Kalles ◽  
Maria Dasiou ◽  
Georgia Doga ◽  
Ioannis Papapanagiotou ◽  
Evangelos A Konstantinou ◽  
...  
Keyword(s):  
Surgical Repair ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Thoracic Wall ◽  
Hernia Sac ◽  
Vehicle Accident ◽  
Intercostal Hernia ◽  
Area 6 ◽  
The Right ◽  
Transdiaphragmatic Intercostal Hernia

Intercostal hernias are rare, and usually occur following injuries of the thoracic wall. The scope of this report is to present a case of a 53-year-old obese patient that developed a transdiaphragmatic intercostal hernia. The patient presented with a palpable, sizeable, reducible mass in the right lateral thoracic wall, with evident bowel sounds in the area, 6 months after a motor-vehicle accident. On computed tomography (CT), the hernia sac contained part of the liver and part of the ascending colon. A surgical repair of the defect was performed, using a prosthetic patch. The patient's postoperative course was uneventful and she remains recurrence free at 12 months after surgery. Intercostal hernias should be suspected following high-impact injuries of the thoracic wall, and CT scans will facilitate the diagnosis of intercostal hernia. We consider the surgical repair of the defect, with placement of a prosthetic mesh, as the treatment of choice to ensure a favorable outcome.

scholarly journals A New Surgical Repair Technique for Ischemic Total Papillary Muscle Rupture

2015 ◽  
Vol 100 (5) ◽  
pp. 1891-1893 ◽  
Author(s):  
Sung Kwang Lee ◽  
Woon Heo ◽  
Ho-Ki Min ◽  
Do Kyun Kang ◽  
Hee Jae Jun ◽  
...  
Keyword(s):  
Papillary Muscle ◽  
Surgical Repair ◽  
Papillary Muscle Rupture ◽  
Repair Technique ◽  
Muscle Rupture

scholarly journals 88 Severe tricuspid regurgitation due to papillary muscle rupture: A rare complication of anterior myocardial infarction and ventricular septal perforation

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Nagumo ◽  
S Wada ◽  
T Saitou ◽  
H Li ◽  
T Sakai ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Right Ventricular ◽  
Papillary Muscle ◽  
Tricuspid Regurgitation ◽  
Papillary Muscles ◽  
Septal Perforation ◽  
Papillary Muscle Rupture ◽  
Severe Tricuspid Regurgitation ◽  
Ventricular Septal Perforation ◽  
Muscle Rupture

Abstract INTRODUCTION Papillary muscle rupture (PMR) of the mitral valve is a fatal complication of acute myocardial infarction (MI). As a complication of anterior MI, PMR of the tricuspid valve is extremely rare. We experienced a case of acute anterior MI complicated with tricuspid PMR and ventricular septal perforation (VSP). REPORT An 85-year-old woman was admitted with general fatigue and appetite loss. Her consciousness was alert, but she was pale, and had cold extremities. Her blood pressure was 74/62 mmHg, and pulse was 99/min. There was no leg edema. Pan systolic regurgitant murmur (Levine III/VI) was audible at the lower left sternal border. Her oxygen saturation was 86% under room air. Electrocardiogram revealed ST segment elevation and QS pattern in V1 to V3. Transthoracic echocardiography revealed dyskinesis of the apical anterior septum, VSP with bidirectional shunt, and severe pulmonary hypertension. Left ventricular ejection fraction was preserved (58%). The anterior tricuspid leaflet was flail due to PMR, resulting in severe tricuspid regurgitation and right ventricular dilatation. Coronary angiography revealed a single vessel disease of the left anterior descending artery (LAD). We recommended surgical treatment, and transferred her to another hospital. DISCUSSION Common causes of tricuspid PMR are infective endocarditis and chest trauma. Right ventricular infarction, usually caused by right coronary artery (RCA) occlusion, may cause tricuspid PMR. In our case, however, tricuspid PMR was complicated with anterior MI. The tricuspid anterior, posterior, and septal leaflets are attached to anterolateral RV wall, inferior septum, and infundibular septum, respectively, via papillary muscles. Right ventricular branches and septal branches of the RCA usually supply these papillary muscles. Anterior leaflet PMR in this case was possibly due to anomalous blood supply of anterolateral RV wall by the right ventricular branches of the LAD. Right ventricular overload due to large VSP shunt elevated RV diastolic pressure and right atrial pressure, and might worsen ischemia of the RV wall. Abstract 88 Figure. severe TR & shunt flow through VSP

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