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Ann Thorac Surg 2002;73:963-965
© 2002 The Society of Thoracic Surgeons

Case report

Correction of traumatic tricuspid regurgitation using the double orifice technique

Sina L. Moainie, MDa, T. Sloane Guy, MDa, Ted Plappert, CVTa, Joseph H. Gorman, III, MDa, Robert C. Gorman, MD*a

a Department of Surgery and School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA

Accepted for publication July 12, 2001.

* Address reprint requests to Dr Gorman, Department of Surgery, 6 Silverstein, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
e-mail: rcgorman{at}mail.med.upenn.edu

We present a case of acute traumatic tricuspid regurgitation in a 39-year-old man who was involved in a motor vehicle accident. A large ecchymotic region over the anterior chest wall prompted evaluation by both transthoracic and transesophageal echocardiography which confirmed the valvular injury. At surgery, valvular incompetence was found to be the result of a flail anterior leaflet due to papillary muscle rupture. The valve was successfully repaired using a single stitch double orifice technique in combination with a ring annuloplasty. The valve remains competent 18 months after surgery.




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 Asian Cardiovasc. Thorac. Ann.Home page
G.-H. Luo, W.-G. Ma, H.-S. Sun, J.-P. Xu, L.-Z. Sun, and S.-S. Hu
Correction of Traumatic Tricuspid Insufficiency Using the Double Orifice Technique
Asian Cardiovasc Thorac Ann, September 1, 2005; 13(3): 238 - 240.
[Abstract] [Full Text] [PDF]


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