Traumatic tricuspid regurgitation complicating endocarditis and right-to-left intracardiac shunt. A case report of successful operation
Journal
Journal of Cardiovascular Surgery
Journal Volume
39
Journal Issue
5
Pages
663-665
Date Issued
1998
Author(s)
Abstract
Tricuspid regurgitation caused by blunt chest trauma is generally quite tolerable for a long time in a clinical setting. This article reports on a 68-year-old patient suffering from progressive dyspnea after a blunt chest trauma having occurred 5 months previously. Flu-like symptoms occurred for several days before severe respiratory distress began upon the day of admission. Transesophageal echocardiographic evidence of endocarditis and right-to-left shunt across a patent foramen ovale (PFO) was demonstrated. Traumatic tricuspid insufficiency in this case was complicated with infective endocarditis and right-to-left intracardiac shunt. Cyanotic congestive heart failure occurred suddenly. He underwent emergency surgical repair with success. Based on the results presented herein, we recommend that early diagnosis be made for traumatic regurgitation and endocarditis by echocardiography so as to ensure therapeutic intervention.
SDGs
Other Subjects
aged; article; bacterial endocarditis; case report; clinical feature; congestive heart failure; dyspnea; early diagnosis; flu like syndrome; heart atrium septum defect; human; male; respiratory distress; thorax blunt trauma; time; transesophageal echocardiography; tricuspid valve regurgitation; Acute Disease; Aged; Anti-Bacterial Agents; Bioprosthesis; Cardiac Surgical Procedures; Drug Therapy, Combination; Echocardiography, Transesophageal; Endocarditis, Bacterial; Follow-Up Studies; Heart Injuries; Heart Septal Defects, Atrial; Heart Valve Prosthesis; Humans; Male; Tricuspid Valve; Tricuspid Valve Insufficiency; Wounds, Nonpenetrating
Type
journal article