交通伤后严重创伤性三尖瓣反流的延迟诊断
Delayed diagnosis of severe traumatic tricuspid regurgitation after traffic injury.
作者信息
Kakuda Nobutaka, Nakayama Atsuko, Ishizuka Masato, Takeda Norifumi, Morita Hiroyuki, Itoda Yoshifumi, Ono Minoru, Komuro Issei
机构信息
Department of Cardiovascular Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
Department of Cardiac and Thoracic Surgery, The University of Tokyo, Tokyo, Japan.
出版信息
J Cardiol Cases. 2021 Oct 11;25(4):204-206. doi: 10.1016/j.jccase.2021.09.009. eCollection 2022 Apr.
Traumatic accidents sometimes cause primary traumatic tricuspid regurgitation (TR), and the diagnosis is occasionally delayed due to the load adaptability of the right ventricle, which may lead to fatal outcomes. Here, we report a case of a 28-year-old man with traumatic TR, which presented with late-onset exertional dyspnea 5 years after a blunt chest injury from a bicycle accident. The chordae tendineae of anterior tricuspid leaflet was ruptured with right heart dilatation, and he underwent surgical tricuspid valvuloplasty. For the patients having a chest traumatic accident, echocardiographic screening is recommended considering TR occurrence. < The early detection with echocardiographic screening after chest traumatic accident followed by immediate surgical intervention is crucial to improve the prognosis of traumatic tricuspid regurgitation.>.
创伤性事故有时会导致原发性创伤性三尖瓣反流（TR），由于右心室的负荷适应性，诊断有时会延迟，这可能导致致命后果。在此，我们报告一例28岁男性创伤性TR病例，该患者在自行车事故导致钝性胸部损伤5年后出现迟发性劳力性呼吸困难。三尖瓣前叶腱索断裂伴右心扩张，他接受了三尖瓣手术成形术。对于胸部创伤性事故患者，建议考虑TR的发生进行超声心动图筛查。<胸部创伤性事故后通过超声心动图筛查早期发现并立即进行手术干预对于改善创伤性三尖瓣反流的预后至关重要。>
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