Costantino Marco Fabio, D'Addeo Gianpaolo, Coletta Maria Antonietta, Stolfi Luisiana
Cardiovascular Department, "San Carlo" Hospital, Potenza, Italy.
J Cardiovasc Echogr. 2025 Apr-Jun;35(2):162-164. doi: 10.4103/jcecho.jcecho_74_24. Epub 2025 Jul 30.
Tricuspid regurgitation (TR) is characterized by the backward flow of blood from the right ventricle to the right atrium during systole. It can be primary, involving intrinsic valve abnormalities, or secondary, due to deformation of the valve apparatus. This case is notable for severe TR following previously unreported chest trauma, emphasizing the importance of detailed medical history in diagnosing valvular conditions. A 62-year-old patient with right atrial and ventricular dilation was diagnosed with severe TR during a routine checkup. Echocardiography showed a prolapsed posterior tricuspid leaflet and annular dilation. Later, a prior chest trauma from a car accident was identified as the likely cause. This case highlights the need for a detailed history and echocardiography to assess TR severity, especially after chest trauma, to prevent right dysfunction and worsening outcomes.
三尖瓣反流（TR）的特征是在收缩期血液从右心室逆向流入右心房。它可以是原发性的，涉及瓣膜本身的异常，也可以是继发性的，由瓣膜装置变形引起。该病例因先前未报告的胸部创伤后出现严重TR而值得关注，强调了详细病史在诊断瓣膜疾病中的重要性。一名右心房和心室扩张的62岁患者在常规检查中被诊断为严重TR。超声心动图显示三尖瓣后叶脱垂和瓣环扩张。后来，发现一次车祸导致的既往胸部创伤可能是病因。该病例强调了需要详细病史和超声心动图来评估TR的严重程度，尤其是在胸部创伤后，以防止右心功能障碍和病情恶化。
