J Korean Med Sci.  2007 Aug;22(4):731-734. 10.3346/jkms.2007.22.4.731.

Traumatic Tricuspid Regurgitation Following Cardiac Massage

• Na S
• Nam SB
• Lee YK
• Oh YJ
• Kwak YL

• KMID: 1127096
• DOI: http://doi.org/10.3346/jkms.2007.22.4.731

Abstract

We report a 66-yr-old male patient who developed tricuspid regurgitation secondary to internal cardiac massage. After uneventful off-pump coronary artery bypass surgery, the subject experienced cardiac arrest in the intensive care unit. External cardiac massage was initiated and internal cardiac massage was performed eventually. A transesophageal echocardiography revealed avulsion of the anterior papillary muscle and chordae to the anterior leaflet after successful cardiopulmonary resuscitation. Emergency repair of the papillary muscle was performed under cardiopulmonary bypass.

Keyword

Cardiac Massage; Off-pump Coronary Artery Bypass Surgery; Tricuspid Regurgitation; Transesophageal Echocardiography

MeSH Terms

Aged
Heart Massage/*adverse effects
Humans
Male
Tricuspid Valve Insufficiency/diagnosis/*etiology/physiopathology

Figure

• 

  Fig. 1 Transesophageal echocardiography showing avulsed papillary muscle (arrow) above the tricuspid valve. RA, right atrium; TV, tricuspid valve; AO, aortic valve.

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  Fig. 2 Color-flow Doppler showing severe tricuspid regurgitation.

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  Fig. 3 Color-flow Doppler showing minimal tricuspid regurgitation after valve repair.

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