258) Prompt diagnosis and timely surgery enabled us to save this patient's life. |
PMID:24043608 DOI:10.1007/s11748-013-0322-5 |
2015 General thoracic and cardiovascular surgery |
* A successful treatment for concomitant injury of the coronary artery and tricuspid valve after blunt chest trauma. |
- A 63-year-old woman involved in an automobile accident was brought to our hospital with thoracic injury sustained by the impact of her vehicle's steering wheel. Cardiac auscultation revealed a grade III/VI systolic murmur and the electrocardiogram showed ST elevation in leads 2, 3 and aVF. A 2D echocardiogram revealed severe tricuspid regurgitation and a hypokinetic right ventricle. Coronary angiography revealed dissection of the proximal right coronary artery (RCA) with 90 % stenosis. Urgent CABG for the RCA and tricuspid valvuloplasty were performed, as the anterior leaflet of the tricuspid valve had prolapsed as a result of chordal rupture. Blunt thoracic trauma causing both tricuspid insufficiency and coronary artery dissection is a very rare and life-threatening situation. Prompt diagnosis and timely surgery enabled us to save this patient's life. |
(1)52 with | (17)4 MSCs | (33)3 subsequently | (49)2 motivation |
(2)30 was | (18)4 education | (34)2 Education | (50)2 of |
(3)20 *null* | (19)4 presenting | (35)2 achieved | (51)2 outcome |
(4)18 and | (20)4 required | (36)2 age | (52)2 pain |
(5)15 had | (21)4 safety | (37)2 as | (53)2 population |
(6)12 who | (22)4 to | (38)2 assessment | (54)2 population, |
(7)11 care | (23)4 were | (39)2 being | (55)2 received |
(8)7 is | (24)3 characteristics | (40)2 can | (56)2 remained |
(9)7 survival | (25)3 comfort | (41)2 computational | (57)2 remains |
(10)7 underwent | (26)3 died | (42)2 data | (58)2 reported |
(11)6 developed | (27)3 group | (43)2 days | (59)2 response |
(12)6 outcomes | (28)3 information | (44)2 empowerment | (60)2 responses |
(13)6 satisfaction | (29)3 life | (45)2 factors, | (61)2 symptoms |
(14)5 groups | (30)3 on | (46)2 for | (62)2 the |
(15)5 in | (31)3 postoperative | (47)2 immunomigration | |
(16)5 presented | (32)3 referral | (48)2 including |
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