PMID- 16533434
OWN - NLM
STAT- MEDLINE
DCOM- 20060602
LR  - 20161020
IS  - 1008-1275 (Print)
IS  - 1008-1275 (Linking)
VI  - 9
IP  - 2
DP  - 2006 Apr
TI  - Outcome of surgical treatment of post-traumatic tricuspid insufficiency.
PG  - 91-3
AB  - OBJECTIVE: To investigate the optimal time and procedure of surgical treatment of 
      traumatic tricuspid insufficiency. METHODS: From May 1984 to September 2004, 
      eight patients underwent operation for traumatic tricuspid valve insufficiency. 
      All patients, male, aged from 7 to 67 years median: 38 years, mean: (38.5 +/- 
      18.1) years. The intervals between trauma and operation ranged from 1 month to 20 
      years median: 19 months, mean: (52.5 +/- 80.3) months). In seven patients, 
      tricuspid insufficiency was attributed to blunt chest trauma including vehicle 
      accident in three patients and the other patient is a stab wound. Diagnosis was 
      confirmed by echocardiography. Pre-operative cardiac functions in patients were 
      classified as New York Heart Association (NYHA) classes II-IV. During operation, 
      the anterior leaflet of the tricuspid valve was completely or partially flailed 
      as a result of chordal rupture in all patients. Chordal rupture of septal leaflet 
      was found in one patient. Anterior leaflet was perforated in two patients. Septal 
      leaflet was retracted and adherent to ventricular septum in two patients. Valve 
      repair was intended for all patients. Finally, valve repair was performed 
      successfully in 3 patients and tricuspid replacement was performed in 5 patients. 
      RESULTS: No early or late death occurred. With a follow-up through clinical 
      manifestation and echocardiography for 7-129 months median: 39 months, mean: 
      (53.4 +/- 42.8) months, all patients were classified as NYHA class I, without any 
      changes. CONCLUSIONS: The satisfactory treatment of traumatic tricuspid 
      insufficiency can be obtained by surgical treatment. Earlier surgery may increase 
      the feasibility of tricuspid valve repair and prevent the deterioration of right 
      ventricular function.
FAU - Hou, Xiao-Tong
AU  - Hou XT
AD  - Department of Cardiac Surgery, Anzhen Hospital, Capital University of Medical 
      Science, Beijing 100029, China. houxiaotong@yahoo.com.cn
FAU - Meng, Xu
AU  - Meng X
FAU - Zhou, Qi-Wen
AU  - Zhou QW
FAU - Zhang, Jian-Qun
AU  - Zhang JQ
FAU - Xu, Chun-Lei
AU  - Xu CL
FAU - Wang, Jian-Gang
AU  - Wang JG
LA  - eng
PT  - Journal Article
PL  - China
TA  - Chin J Traumatol
JT  - Chinese journal of traumatology = Zhonghua chuang shang za zhi
JID - 100886162
SB  - IM
MH  - Accidents, Traffic
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Echocardiography
MH  - Heart Injuries/etiology/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Time Factors
MH  - Tricuspid Valve Insufficiency/etiology/*surgery
MH  - Wounds, Nonpenetrating/etiology/*surgery
MH  - Wounds, Stab/surgery
EDAT- 2006/03/15 09:00
MHDA- 2006/06/03 09:00
CRDT- 2006/03/15 09:00
PHST- 2006/03/15 09:00 [pubmed]
PHST- 2006/06/03 09:00 [medline]
PHST- 2006/03/15 09:00 [entrez]
PST - ppublish
SO  - Chin J Traumatol. 2006 Apr;9(2):91-3.