Mehrotra Deepak, Dalley Paul, Mahon Barry
Department of Cardiothoracic Surgery, Wellington Hospital, Wellington 6021, New Zealand.
Tex Heart Inst J. 2012;39(5):668-70.
Blunt cardiac trauma causing tricuspid regurgitation is rare and is most often associated with traffic accidents. Falling from a height can also cause such injuries, resulting in hemodynamic compromise and arrhythmias. The signs of traumatic tricuspid regurgitation can appear early or be delayed, depending upon the severity of injury. We present the case of a 68-year-old woman who fell from a height onto rocks during a hike. She sustained blunt cardiac injury with complete tricuspid valve avulsion, and underwent successful repair. In addition, we review the relevant medical literature.
钝性心脏创伤导致三尖瓣反流较为罕见，最常与交通事故相关。高处坠落也可导致此类损伤，进而引起血流动力学紊乱和心律失常。创伤性三尖瓣反流的体征可早期出现或延迟出现，这取决于损伤的严重程度。我们报告一例68岁女性病例，她在徒步旅行时从高处坠落到岩石上。她遭受钝性心脏损伤，伴有三尖瓣完全撕脱，并成功接受了修复手术。此外，我们还回顾了相关医学文献。
