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钝性胸部创伤所致迟发性创伤性三尖瓣反流:一例报告及文献复习

Delayed Traumatic Tricuspid Valve Regurgitation Caused by Blunt Chest Trauma: A Case Report and Literature Review.

作者信息

Mounir Reda, Nya Fouad, Atmani Noureddine, Abdou Abdessamad, Moutakillah Youness

机构信息

Department of Cardiothoracic Surgery, Avicenna Military Hospital, Cadi Ayyad University, Marrakech, MAR.

Department of Cardiovascular Surgery, Mohammed V Military Hospital, Mohammed V University, Rabat, MAR.

出版信息

Cureus. 2024 Nov 4;16(11):e73001. doi: 10.7759/cureus.73001. eCollection 2024 Nov.

Abstract

Traumatic tricuspid regurgitation (TTR) is an uncommon cause of acute right ventricular dysfunction. The surgical approach can be complex, and repair tends to have a lower success rate when right heart failure symptoms are present. We present a case of a 56-year-old man with chronic isolated tricuspid valve flail and severe TTR due to high-energy blunt chest trauma from a vehicle accident 24 years prior. This report emphasizes the critical role of echocardiography in diagnosing trauma-related primary tricuspid regurgitation and the necessity of early detection to facilitate surgical intervention before irreversible damage happens.

摘要

创伤性三尖瓣反流(TTR)是急性右心室功能障碍的一种罕见病因。手术方法可能很复杂,并且当出现右心衰竭症状时,修复成功率往往较低。我们报告一例56岁男性患者,其患有慢性孤立性三尖瓣瓣叶脱垂及严重TTR,病因是24年前因车祸导致的高能钝性胸部创伤。本报告强调了超声心动图在诊断创伤相关原发性三尖瓣反流中的关键作用,以及早期检测以便在不可逆转的损害发生之前促进手术干预的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0aa/11616900/8e439e0dbc37/cureus-0016-00000073001-i01.jpg

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