Traumatic Tricuspid Insufficiency with Chordae Tendinae Rupture: A Case Report and Literature Review

外傷性三尖瓣閉鎖不全合併腱索斷裂－病例報告及文獻回顧

林新進(Shin-Jing Lin) ； 陳昭文(Chao-Wen Chen) ； 周俊仁(Chun-Jen Chou) ； 劉冠廷(Kuan-Ting Liu) ； 蘇河名(Ho-Ming Su) ； 林宗憲(Tsung-Hsien Lin) ； 溫文才(Wen-Chol Voon) ； 賴文德(Wen-Ter Lai) ； 許勝雄(Sheng-Hsiung Sheu)

《The Kaohsiung Journal of Medical Sciences》 22卷12期 (2006/12) Pp. 626-629

摘要

隨著高速撞擊車禍的數目增加，外傷性三尖瓣閉鎖不全，這種非穿刺性胸部挫傷造成的罕見全並症已經成爲重要的課題。這種形式的傷害近幾十年來較爲普及，部份是因爲診斷工具的改進以及對其病理學上有更進一步的瞭角。我們報告一位二十二歲年輕男性在一場車輛當中遭受胸部挫傷。心臟超音波證實三尖瓣腱索斷裂及明顯的三尖瓣逆流。我們討論此病例並用和之前的文獻做一番比較。這個病例亦提醒我們急診醫生應警覺到非穿刺性胸部挫傷造成三尖瓣閉鎖不全的潛在危險性。

關鍵字

腱索斷裂 ； 外傷 ； 三尖瓣逆流

並列摘要

With the increase in the number of automobile accidents, traumatic tricuspid insufficiency, a rare complication of non-penetrating blunt chest injury, has become an important problem. This kind of injury has been found more frequently during the last decade, partly because of better diagnostic procedures and a better understanding of the pathology. Here, we report a 22-year-old male patient who suffered chest trauma from an automobile accident. Echocardiography demonstrated tricuspid chordae tendinae rupture with remarkable tricuspid regurgitation. We discuss this case in comparison with the previous literature. This case reminds us that physicians in the emergency department should be aware of this potential complication following non-penetrating chest trauma.

並列關鍵字

chordae tendinae rupture ； trauma ； tricuspid regurgitation