TRAUMATIC TRICUSPID REGURGITATION - 2 CAS E-REPORTS

The authors report two cases of tricuspid regurgitation by a ruptured anterior papillary muscle secondary to non-penetrating thoracic trauma . In the presence of suggestive clinical and electrocardiographic abno rmalities (systolic murmur, right heart failure, right bundle branch b lock), echocardiography confirmed the tricuspid regurgitation, showed its mechanism and excluded any other intracardiac lesions. Tricuspid a nnuloplasty was performed in both cases because of the persistance of failure or degradation of the patient's clinical condition. Peroperati ve echocardiography was used to judge the quality of the surgical repa ir in both cases. Traumatic tricuspid regurgitation is a rare conditio n and the diagnosis is often delayed. Echocardiography is the investig ation of choice and guides treatment which is essentially valvular rep air in symptomatic patients.