Singer I, Dawn B, Calzada N, Spence P A
Division of Cardiology, University of Louisville, KY 40202, USA.
Cardiology. 1998 May;89(4):303-5. doi: 10.1159/000006803.
Isolated tricuspid valve incompetence resulting from blunt thoracic injury is rare. The diagnosis may be challenging. Subsequent clinical course may be variable. Early surgical intervention rather than medical therapy has been suggested in selected cases. We report a case of blunt chest trauma causing delayed chronic tricuspid regurgitation manifesting primarily as atrial fibrillation many years after the initial blunt chest trauma. Replacement of tricuspid valve restored normal sinus rhythm.
钝性胸部损伤导致的孤立性三尖瓣关闭不全很少见。诊断可能具有挑战性。随后的临床病程可能各不相同。在某些病例中，建议早期手术干预而非药物治疗。我们报告一例钝性胸部创伤导致延迟性慢性三尖瓣反流的病例，主要表现为初次钝性胸部创伤多年后出现房颤。三尖瓣置换恢复了正常窦性心律。
