Abstract
As the clinical manifestations of traumatic tricuspid valve regurgitation vary according
to the extent of tricuspid valve injury, this condition can often go unnoticed and
be incidentally discovered. Here, we report the case of a 40-year-old man with patent
foramen ovale, in which severe tricuspid regurgitation due to tricuspid valve prolapse
was incidentally discovered following blunt chest trauma. Further examination revealed
that the prolapse had also caused active right ventricular mural infective endocarditis.
The patient had no relevant past medical history of chronic debilitating disease or
immunosuppression. After evaluation by the cardiology team, emergent surgical tricuspid
valvular repair was successfully performed.
Learning objective
Tricuspid valve prolapses resulting from chest trauma may occasionally lead to severe
tricuspid regurgitation. Furthermore, this may cause active right ventricular infective
endocarditis. In the present case, Staphylococcus aureus was detected in blood cultures, which is usually rapidly progressive and often leads
to devastating consequences. Early surgical approach should be considered in cases
of infection in the left atrium via patent foramen ovale.
Keywords
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Article Info
Publication History
Published online: November 03, 2022
Accepted:
October 7,
2022
Received in revised form:
October 5,
2022
Received:
May 30,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. All rights reserved.
