Traumatic tricuspid regurgitation and right-to-left intra-atrial shunt--an unusual complication of a horse-kick.

Hdl Handle:
http://hdl.handle.net/10147/123950
Title:
Traumatic tricuspid regurgitation and right-to-left intra-atrial shunt--an unusual complication of a horse-kick.
Authors:
Byrne, R A; Fleming, S; Tolan, M; Brown, A
Affiliation:
CResT Directorate, St. James's Hospital, St. James's St, Dublin. byrne@dhm.mhn.de
Citation:
Traumatic tricuspid regurgitation and right-to-left intra-atrial shunt--an unusual complication of a horse-kick. 2010, 103 (2):55-7 Ir Med J
Journal:
Irish medical journal
Issue Date:
Feb-2010
URI:
http://hdl.handle.net/10147/123950
PubMed ID:
20666059
Abstract:
A 63-year-old male presented with sudden onset chest pain and dyspnoea following a kick to the praecordium while gelding a horse. Transthoracic echocardiography showed evidence of flail tricuspid valve leaflets, severe tricuspid regurgitation and a widely patent foramen ovale with a right-to-left shunt. Due to progressive severe systemic hypoxemia the patient underwent emergent surgical intervention. Operative findings confirmed rupture of the anterior and septal tricuspid valve papillary muscles. Successful papillary muscle reattachment was performed in association with tricuspid annuloplasty and suture closure of his patent foramen ovale. Disruption of the tricuspid valve is well described as consequence of blunt trauma to the chest wall and is often well tolerated, coming to light many years post injury. Valve disruption due to rupture at the papillary muscle level, however, typically results in greater severity of tricuspid regurgitation and the abrupt rise in right intra-atrial pressure may lead to a right-to-left shunt across a patent foramen ovale. Where hemodynamic compromise ensues, prompt surgical intervention is mandated.
Item Type:
Article
Language:
en
MeSH:
Animals; Heart Injuries; Horses; Humans; Male; Middle Aged; Papillary Muscles; Prolapse; Tricuspid Valve Insufficiency; Wounds, Nonpenetrating
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorByrne, R Aen
dc.contributor.authorFleming, Sen
dc.contributor.authorTolan, Men
dc.contributor.authorBrown, Aen
dc.date.accessioned2011-03-08T16:35:03Z-
dc.date.available2011-03-08T16:35:03Z-
dc.date.issued2010-02-
dc.identifier.citationTraumatic tricuspid regurgitation and right-to-left intra-atrial shunt--an unusual complication of a horse-kick. 2010, 103 (2):55-7 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid20666059-
dc.identifier.urihttp://hdl.handle.net/10147/123950-
dc.description.abstractA 63-year-old male presented with sudden onset chest pain and dyspnoea following a kick to the praecordium while gelding a horse. Transthoracic echocardiography showed evidence of flail tricuspid valve leaflets, severe tricuspid regurgitation and a widely patent foramen ovale with a right-to-left shunt. Due to progressive severe systemic hypoxemia the patient underwent emergent surgical intervention. Operative findings confirmed rupture of the anterior and septal tricuspid valve papillary muscles. Successful papillary muscle reattachment was performed in association with tricuspid annuloplasty and suture closure of his patent foramen ovale. Disruption of the tricuspid valve is well described as consequence of blunt trauma to the chest wall and is often well tolerated, coming to light many years post injury. Valve disruption due to rupture at the papillary muscle level, however, typically results in greater severity of tricuspid regurgitation and the abrupt rise in right intra-atrial pressure may lead to a right-to-left shunt across a patent foramen ovale. Where hemodynamic compromise ensues, prompt surgical intervention is mandated.-
dc.language.isoenen
dc.subject.meshAnimals-
dc.subject.meshHeart Injuries-
dc.subject.meshHorses-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshPapillary Muscles-
dc.subject.meshProlapse-
dc.subject.meshTricuspid Valve Insufficiency-
dc.subject.meshWounds, Nonpenetrating-
dc.titleTraumatic tricuspid regurgitation and right-to-left intra-atrial shunt--an unusual complication of a horse-kick.en
dc.typeArticleen
dc.contributor.departmentCResT Directorate, St. James's Hospital, St. James's St, Dublin. byrne@dhm.mhn.deen
dc.identifier.journalIrish medical journalen

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.