Abstract:
:Isolated tricuspid insufficiency (TI) is relatively uncommon and mostly of traumatic origin. We report clinical noninvasive and invasive findings and surgical results in 5 cases. All patients had complete clinical, noninvasive and invasive studies including right and left catheterization, and coronary angiographies in 3 patients. All but 1 patient had nonpenetrating trauma. All had large jugular V waves, right precordial impulse, systolic liver pulse, positive Carvallo sign documented also by noninvasive techniques. Right heart failure was present in 3 patients. Chest x-ray showed prominent right atrium and distended vena cavae. Electrocardiogram showed normal sinus rhythm in 4 patients and atrial fibrillation in 1. Two patients had right bundle-branch block, and 2 presented RSR'-pattern. Echocardiogram showed large right atrium (RA) (6-10 cm), floppy tricuspid valve (TV) in all, dilated right ventricle (RV) in 2 patients. Findings of left heart were normal in all. Three patients had right-to-left shunt. In RA A waves were 4-8, Y waves 1-3, and V waves 12-22 mmHg, respectively (mean RV and PA pressures were 23/3 and 23/10 mmHg, respectively). Four patients had anuloplasty, 2 of them repair of valve and chordae. Surgical results were good in 2 patients with valve repair, satisfactory in 1; there was significant TI resistance in 1 case. We conclude that TI has distinctive clinical findings and must be ruled out in all patients with chest trauma. Surgery must include not only anuloplasty, but, cusps and chordae must also be evaluated and reconstructed if necessary.
journal_name
Clin Cardioljournal_title
Clinical cardiologyauthors
Sheikhzadeh A,Langbehn AF,Ghabusi P,Hakim C,Wendler G,Tarbiat Sdoi
10.1002/clc.4960070509subject
Has Abstractpub_date
1984-05-01 00:00:00pages
299-306issue
5eissn
0160-9289issn
1932-8737journal_volume
7pub_type
杂志文章abstract:BACKGROUND:Slow coronary flow in patients without obstructive coronary artery disease is an angiographic finding that could easily be detected by thrombolysis in myocardial infarction (TIMI) frame counts. On the other hand, impaired renal function is a frequent problem. We searched the association between the 2 entitie...
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更新日期:1998-07-01 00:00:00
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pub_type: 临床试验,杂志文章,多中心研究
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更新日期:1993-04-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2017-06-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1996-11-01 00:00:00
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pub_type: 社论
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更新日期:2003-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2007-04-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1994-09-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2007-02-01 00:00:00
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journal_title:Clinical cardiology
pub_type: 杂志文章
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更新日期:2000-08-01 00:00:00