Merlo Aurelie, Ikonomidis John, Caranasos Thomas, Kolarczyk Lavinia
From the Division of Cardiothoracic Surgery, Department of Surgery, University of North Carolina, Chapel Hill, North Carolina.
Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina.
A A Pract. 2019 Sep 15;13(6):233-235. doi: 10.1213/XAA.0000000000001042.
Tricuspid valve (TV) avulsion is rare and ordinarily does not require emergent intervention. We present the case of a polytrauma patient with traumatic TV avulsion who ultimately required urgent TV replacement in the setting of hemodynamic instability. Urgent TV replacement may be warranted after careful consideration of patient risk factors and clinical context.
三尖瓣撕脱很少见,通常不需要紧急干预。我们报告一例多发伤患者发生创伤性三尖瓣撕脱,最终在血流动力学不稳定的情况下需要紧急进行三尖瓣置换。在仔细考虑患者风险因素和临床情况后,紧急进行三尖瓣置换可能是必要的。