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钝性胸部创伤后严重三尖瓣损伤——病例报告

[Severe tricuspid valve injury following blunt chest trauma--case report].

作者信息

Elikowski Waldemar, Małek Małgorzata, Kalawski Ryszard, Wróblewski Dariusz, Kulczak Mariusz, Kawczyński Stanisław

机构信息

Szpital im. Józefa Strusia w Poznaniu, Oddział Chorób Wewngtrznych.

出版信息

Pol Merkur Lekarski. 2012 Jul;33(193):25-8.

Abstract

Tricuspid valve (TV) injury is a rare complication of blunt chest trauma, most commonly as a result of a traffic collision. The authors describe a case of massive TV regurgitation due to a rupture of the chorde tendinae to the anterior and septal leaflets in a 21-year-old man, the victim of a car crash. Concomitant organ injuries included, among others, multiple rib fractures, pulmonary contusion, open femoral fracture. TV annuloplasty with Medtronic Duran ring implantation was performed one year after the accident because of right ventricular function worsening and occurrence of right heart failure symptoms. Three years after surgery only trivial TV regurgitation is detectable. The patient manifest good physical efficiency and continues occupational activity.

摘要

三尖瓣损伤是钝性胸部创伤的一种罕见并发症,最常见于交通碰撞。作者描述了一例21岁男性因车祸致腱索断裂至三尖瓣前叶和隔叶而导致大量三尖瓣反流的病例。同时存在的器官损伤包括多根肋骨骨折、肺挫伤、开放性股骨骨折等。事故发生一年后,由于右心室功能恶化及出现右心衰竭症状,进行了美敦力杜兰环植入的三尖瓣环成形术。术后三年仅可检测到轻微的三尖瓣反流。患者身体机能良好,继续从事职业活动。

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