Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지
DOI QR코드

DOI QR Code

Traumatic Tricuspid Regurgitation as a Cause of Failure to Wean from Mechanical Ventilation

  • Jeon, Yang Bin (Department of Traumatology, Gachon University College of Medicine) ;
  • Park, Chul Hyun (Department of Thoracic and Cardiovascular Surgery, Gachon University College of Medicine) ;
  • Ma, Dae Sung (Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital)
  • Received : 2020.05.07
  • Accepted : 2020.08.04
  • Published : 2020.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

A 55-year-old man underwent emergent sternotomy due to cardiac tamponade occurring just after an accidental fall from a 10-m height. Tricuspid valve regurgitation was found on echocardiography while he was on mechanical ventilation after the operation. The patient was weaned successfully from mechanical ventilation after tricuspid valve repair under cardiopulmonary bypass. Traumatic tricuspid valve regurgitation is a rare blunt chest injury and its symptoms occur late. Tricuspid regurgitation should be considered as a reason for failure to wean from mechanical ventilation after blunt cardiac trauma.

Keywords

References

  1. Ma WG, Luo GH, Sun HS, Xu JP, Hu SS, Zhu XD. Surgical treatment of traumatic tricuspid insufficiency: experience in 13 cases. Ann Thorac Surg 2010;90:1934-8. https://doi.org/10.1016/j.athoracsur.2010.07.081
  2. Enomoto Y, Sudo Y, Sueta T. Traumatic tricuspid insufficiency requiring valve repair in an acute setting. Hellenic J Cardiol 2015;56:516-9.
  3. Stoica B, Paun S, Tanase I, Negoi I, Runcanu A, Beuran M. Traumatic tricuspid valve rupture after blunt chest trauma - a case report and review of the literature. Chirurgia (Bucur) 2015;110:467-70.
  4. Croxson MS, O'Brien KP, Lowe JB. Traumatic tricuspid regurgitation. Long-term survival. Br Heart J 1971;33:750-5. https://doi.org/10.1136/hrt.33.5.750
  5. Fujiwara K, Hisaoka T, Komai H, Nishimura Y, Yamamoto S, Okamura Y. Successful repair of traumatic tricuspid valve regurgitation. Jpn J Thorac Cardiovasc Surg 2005;53:259-62.
  6. Maisano F, Lorusso R, Sandrelli L, Torracca L, Coletti G, La Canna G, et al. Valve repair for traumatic tricuspid regurgitation. Eur J Cardiothorac Surg 1996;10:867-73. https://doi.org/10.1016/S1010-7940(96)80313-7
  7. Cuadros CL, Hutchinson JE 3rd, Mogtader AH. Laceration of a mitral papillary muscle and the aortic root as a result of blunt trauma to the chest. Case report and review of the literature. J Thorac Cardiovasc Surg 1984;88:134-40. https://doi.org/10.1016/S0022-5223(19)38397-7
  8. Banning AP, Durrani A, Pillai R. Rupture of the atrial septum and tricuspid valve after blunt chest trauma. Ann Thorac Surg 1997;64:240-2. https://doi.org/10.1016/S0003-4975(97)00275-0
  9. Krasna MJ, Flancbaum L. Blunt cardiac trauma: clinical manifestations and management. Semin Thorac Cardiovasc Surg 1992;4:195-202.
  10. Toggweiler S, Turina J, Jenni R, Tanner FC. Spontaneous regression of severe traumatic tricuspid valve regurgitation. Eur Heart J 2010;31:560. https://doi.org/10.1093/eurheartj/ehp531