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Case Reports

Acrocomia Aculeata as an Unreported Cause of Tricuspid Regurgitation

^a Division of Cardiovascular Surgery, "Ricardo Gutiérrez" Children's Hospital, Buenos Aires, Argentina
^b Division of Cardiology, "Ricardo Gutiérrez" Children's Hospital, Buenos Aires, Argentina

Accepted for publication November 10, 2008.

^_* Address correspondence to Dr Lugones, Calle 10 nro 857 Piso 13 B, La Plata, CP 1900, Argentina (Email: ignaciolugones{at}hotmail.com).

Penetrating chest trauma can produce a wide range of lesions to cardiac structures. Some patients develop signs and symptoms of residual sequelae. We describe the case of an 11-year-old boy with severe tricuspid regurgitation caused by the thorn of a palm tree. A De Vega annuloplasty of the tricuspid valve and a bidirectional Glenn procedure were successfully performed 7 years after the episode. This case illustrates the importance of a thorough investigation of possible valvular heart disease in patients who suffered from chest trauma.