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Ann Thorac Surg 1996;61:992-993
© 1996 The Society of Thoracic Surgeons

Case Report

Traumatic Tricuspid Regurgitation With Cyanosis: Diagnosis by Transesophageal Echocardiography

William C. Chiu, MD, Daniel M. Shindler, MD, Peter M. Scholz, MD, Andrew H. Boyarsky, MD

Departments of Surgery and Medicine, University of Medicine and Dentistry of New Jersey–Robert Wood Johnson Medical School, New Brunswick, New Jersey

Accepted for publication September 18, 1995.

This case report demonstrates the utility of transesophageal echocardiography in the rapid diagnosis of a cardiac injury from blunt thoracic trauma. Initial transesophageal echocardiography identified a flail tricuspid valve leaflet and regurgitation in a patient with jugular venous distention and hemodynamic instability. Progressive hypoxemia prompted repeat transesophageal echocardiography with contrast enhancement, which revealed opening of the foramen ovale and a right-to-left interatrial shunt. Operative repair of the lesion was lifesaving.




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