Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Tricuspid Valve Repair for Tricuspid Valve Insufficiency Following a Cardiac Stab Injury - One case report -

심장 자상 후에 발생된 삼첨판막 폐쇄부전의 삼첨판막 성형술 - 1예 보고 -

  • Kim, Dong-Hyun (Department of Thoracic and Cardiovascular Surgery, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Seong-Jin (Department of Thoracic and Cardiovascular Surgery, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Chol-Sae (Department of Thoracic and Cardiovascular Surgery, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Kihl-Rho (Department of Thoracic and Cardiovascular Surgery, Cheonan Hospital, Soonchunhyang University College of Medicine) ;
  • Lee, Seock-Yeol (Department of Thoracic and Cardiovascular Surgery, Cheonan Hospital, Soonchunhyang University College of Medicine)
  • 김동현 (순천향대학교 의과대학 천안병원 흉부외과학교실) ;
  • 이승진 (순천향대학교 의과대학 천안병원 흉부외과학교실) ;
  • 이철세 (순천향대학교 의과대학 천안병원 흉부외과학교실) ;
  • 이길노 (순천향대학교 의과대학 천안병원 흉부외과학교실) ;
  • 이석열 (순천향대학교 의과대학 천안병원 흉부외과학교실)
  • Published : 2007.05.05
Download PDF
⟨ Previous Next ⟩

Abstract

A 51-year-old male was admitted three month previously with a cardiac stab injury and he underwent direct cardiac repair He had no problem after this event. He complained of dyspnea that stalled 2 months after the original injury. Echocardiography showed severe tricuspid regurgitation and so, chordac replacement and ring annuloplasty was performed. Herein we report on a case of tricuspid valve repair for treating tricuspid insufficiency following a cardiac stab injury.

51세 환자가 3개월 전에 심장 자상으로 본원에 입원하여 심장봉합수술을 받았다. 이후 별다른 소견 없이 지내다가 약 2개월 전부터 발생된 호흡곤란을 주소로 내원하였다. 심장초음파상 심한 삼첨판막 페쇄부전이 관찰되었으며 삼첨판막의 건삭치환술과 판윤 성형술을 실시하였다. 이에 저자들은 심장 자상 후에 발생된 삼첨판막 폐쇄부전을 판막성형술로 치료하였기에 증례보고를 하는 바이다.

Keywords

References

  1. Knott-Craig CJ, Dalton RP, Rossouw GJ, Barnard PM. Penetrating cardiac trauma: management strategy based on 129 surgical emergencies over 2 year. Ann Thorac Surg 1992; 53:1006-9 https://doi.org/10.1016/0003-4975(92)90375-E
  2. McDonald ML, Orszulak TA, Bannon MP, Zietlow SP. Mitral valve injury after blunt chest trauma. Ann Thorac Surg 1996; 61:1024-9 https://doi.org/10.1016/0003-4975(95)01034-3
  3. Morelli S, Perrone C, Bernardo ML, Voci P. Flail tricuspid valve in a patient with history of stab chest wound. Int J Cardiol 1998;66:111-3 https://doi.org/10.1016/S0167-5273(98)00142-9
  4. Topaloglu S, Aras D, Cagli K, et al. Penetrating trauma to the mitral valve and ventricular septum. Tex Heart Inst J 2006; 33:392-5
  5. Chirillo F, Totis O, Cavarzerani A, et al. Usefulness of transthoracic and transoesophageal echocardiography in recognition and management of cardiovascular injuries after blunt chest trauma. Heart 1996;75:301-6 https://doi.org/10.1136/hrt.75.3.301
  6. Shabidnoorai S, Ameli M. Post traumatic tricuspid insufficiency: when to intervene? J Cardiovasc Surg (Torino) 1991; 32:585-8
  7. Mukherjee D, Nader S, Olano A, Garcia MJ, Griffin BP. Improvement in right ventricular systolic function after surgical correction of isolated tricuspid regurgitation. J Am Soc Echocardiogr 2000;13:650-4 https://doi.org/10.1067/mje.2000.103958
  8. Maisano F, Lorusso R, Sandrelli L, et al. Valve repair for traumatic tricuspid regurgitation. Eur J Cardiothorac Surg 1996;10:867-73 https://doi.org/10.1016/S1010-7940(96)80313-7