TRICUSPID VALVE SECONDARY TO OLD BLUNT CHEST TRAUMA

Abstract

Objective: The patient was a 42-year-old man who presented to the hospital with chest pain caused by movement. The patient had no other symptoms and underwent cardiac examination and examination. Echocardiography is performed. The patient mentions that these pains have been created for 6 months and have increased. Background: After Trauma tricuspid insufficiency is an uncommon presentation generally caused by not traumatic injury to the chest wall and here the tricuspid valve injury is detected after 15 years of Chest injury by motorbike. Design and method: Case presentation A 42-year-old man non-smoker and non-alcoholic presented with complaints of chest pain on movement with no exertional breathlessness for 3 months. Chest pain was increased with movement. He did not have any history of chronic illness. However, 15 years back he had suffered a non-penetrated chest trauma following a bike traffic accident. He was treated medically and since then he had remained well. At admission, the pulse rate was 72/min, blood pressure 110/70 mm Hg, and respiratory rate 20/min. Po2 88 mmHg, So2 97%. Physical examination revealed elevated jugular venous pressure with prominent V wave and Y descent, grade II pan systolic murmur best heard at the fifth intercostal space along the left sternal border, which increases on inspiration and bilateral basal pulmonary crepitations. Results: The patient was a 42-year-old man who had no history of any specific disease. Except for the history of an accident while riding a motorcycle 15 years ago, he did not have any particular complaints. During the operation, we noticed a rupture of the cord (tricuspid valve) which was a sign of rupture due to trauma to the valve. After the surgery, the patient had a complete recovery process and was discharged. Due to the gradual process of severities, which was asymptomatic, we came too the conclusion that after the trauma, the patient suffered a partial tear of the tricuspid cord, which increased with age and time. Conclusions: The patient had chest pain and systolic sonic, which is a rare case of severe TR