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Journal of the Royal Medical Services. 1999; 6 (1): 65-67
em Inglês | IMEMR | ID: emr-51223

RESUMO

Blunt chest trauma can result in a significant cardiothoracic injury. However, isolated tricuspid valve incompetence is an uncommon sequel of such injuries, and may be clinically silent. When symptoms arise, diagnosis is often made by transthoracic and/or transesophageal echocardiography in conjunction with color Doppler and occasionally cardiac catheterization. Treatment is essentially surgical in the form of tricuspid valve repair or replacement. We report here a case of a 32- year-old female, who presented with a recent onset of atrial fibrillation [AF] and a remote history of blunt trauma to her chest. Clinical examination revealed clinical signs of tricuspid regurgitation and right-sided heart failure. Echo-Doppler showed tricuspid valve regurgitation with ruptured chordae. Tricuspid valve replacement using mechanical prosthetic valve was done, as valve repair was not feasible


Assuntos
Humanos , Feminino , Insuficiência da Valva Tricúspide/etiologia , Traumatismos Torácicos/complicações , Ferimentos não Penetrantes , Fibrilação Atrial
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