Delayed Diagnosis of Traumatic Rupture of Anterior Papillary Muscle of Tricuspid Valve; Importance of Trans-Esophageal Echocardiogram in the Evaluation of Major Blunt Chest Trauma
We present a case of delayed diagnosis of traumatic tricuspid valve rupture in a patient who was emergently brought to the operating room for repair of lacerations to the heart and liver without intraoperative transesophageal echocardiography (TEE). Initial postoperative transthoracic echocardiograp...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2021-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-0060.pdf |
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| author | Ryan Bylsma Mustafa Baldawi Bruce Toporoff Matthew Shin Meghan Cochran-Yu Davinder Ramsingh Purvi Parwani David G. Rabkin |
| author_facet | Ryan Bylsma Mustafa Baldawi Bruce Toporoff Matthew Shin Meghan Cochran-Yu Davinder Ramsingh Purvi Parwani David G. Rabkin |
| author_sort | Ryan Bylsma |
| collection | DOAJ |
| description | We present a case of delayed diagnosis of traumatic tricuspid valve rupture in a patient who was emergently brought to the operating room for repair of lacerations to the heart and liver without intraoperative transesophageal echocardiography (TEE). Initial postoperative transthoracic echocardiography (TTE) did not show structural pathology. One week later, TTE with better image quality showed severe tricuspid regurgitation. Subsequently, TEE clearly demonstrated rupture of the anterior papillary muscle and flail anterior tricuspid leaflet. The case description is followed by a brief discussion of the utility of TEE in the setting of blunt thoracic trauma. |
| format | Article |
| id | doaj-art-f58e9d2d8e2e415db9d5806c0637c2e3 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-f58e9d2d8e2e415db9d5806c0637c2e32025-01-08T08:08:46ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832021-06-0134213614010.20408/jti.2020.00601067Delayed Diagnosis of Traumatic Rupture of Anterior Papillary Muscle of Tricuspid Valve; Importance of Trans-Esophageal Echocardiogram in the Evaluation of Major Blunt Chest TraumaRyan Bylsma0Mustafa Baldawi1Bruce Toporoff2Matthew Shin3Meghan Cochran-Yu4Davinder Ramsingh5Purvi Parwani6David G. Rabkin7 Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA Division of Acute Care Surgery, Department of General Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA Department of Anesthesia & Critical Care, Loma Linda University Medical Center, Loma Linda, CA, USA Division of Cardiology, Department of Medicine, Loma Linda University Medical Center, Loma Linda, CA, USA Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, CA, USAWe present a case of delayed diagnosis of traumatic tricuspid valve rupture in a patient who was emergently brought to the operating room for repair of lacerations to the heart and liver without intraoperative transesophageal echocardiography (TEE). Initial postoperative transthoracic echocardiography (TTE) did not show structural pathology. One week later, TTE with better image quality showed severe tricuspid regurgitation. Subsequently, TEE clearly demonstrated rupture of the anterior papillary muscle and flail anterior tricuspid leaflet. The case description is followed by a brief discussion of the utility of TEE in the setting of blunt thoracic trauma.http://www.jtraumainj.org/upload/pdf/jti-2020-0060.pdfblunt injurytricuspid regurgitationtransesophageal echocardiography |
| spellingShingle | Ryan Bylsma Mustafa Baldawi Bruce Toporoff Matthew Shin Meghan Cochran-Yu Davinder Ramsingh Purvi Parwani David G. Rabkin Delayed Diagnosis of Traumatic Rupture of Anterior Papillary Muscle of Tricuspid Valve; Importance of Trans-Esophageal Echocardiogram in the Evaluation of Major Blunt Chest Trauma Journal of Trauma and Injury blunt injury tricuspid regurgitation transesophageal echocardiography |
| title | Delayed Diagnosis of Traumatic Rupture of Anterior Papillary Muscle of Tricuspid Valve; Importance of Trans-Esophageal Echocardiogram in the Evaluation of Major Blunt Chest Trauma |
| title_full | Delayed Diagnosis of Traumatic Rupture of Anterior Papillary Muscle of Tricuspid Valve; Importance of Trans-Esophageal Echocardiogram in the Evaluation of Major Blunt Chest Trauma |
| title_fullStr | Delayed Diagnosis of Traumatic Rupture of Anterior Papillary Muscle of Tricuspid Valve; Importance of Trans-Esophageal Echocardiogram in the Evaluation of Major Blunt Chest Trauma |
| title_full_unstemmed | Delayed Diagnosis of Traumatic Rupture of Anterior Papillary Muscle of Tricuspid Valve; Importance of Trans-Esophageal Echocardiogram in the Evaluation of Major Blunt Chest Trauma |
| title_short | Delayed Diagnosis of Traumatic Rupture of Anterior Papillary Muscle of Tricuspid Valve; Importance of Trans-Esophageal Echocardiogram in the Evaluation of Major Blunt Chest Trauma |
| title_sort | delayed diagnosis of traumatic rupture of anterior papillary muscle of tricuspid valve importance of trans esophageal echocardiogram in the evaluation of major blunt chest trauma |
| topic | blunt injury tricuspid regurgitation transesophageal echocardiography |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-0060.pdf |
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