Travma sonrasý triküspit yetersizliði: Bir olgu sunumu

Travma sonrasý triküspit yetersizliði göðüs travmasýnýn nadir bir komplikasyonudur. On sekiz yaþýnda erkek hastanýn bisiklet kazasýnda karýn ve göðüs duvarýnýn ön kýsmý yaralanýyor. Kalbin inferior diyafragmatik yüzeyindeki yýrtýk tedavisini yapan doktor tarafýndan primer dikiþle onarýlýyor. On sekiz yýl sonra, ciddi triküspit yetersizliði (3+/4+) ile hastaneye baþvurdu. Operasyonda, kapak onarýma uygun deðildi ve biyoprotez kapak ile deðiþtirildi. Ýzole triküspit kapak hasarýyla ilgili hemodinamik bozulma sýklýkla iyi tolere edilir. Rekonstrüktif cerrahi erken periyotta mümkün olabilir. Gecikmiþ olgularda, onarým valvüler yapýlarýn dejenerasyonuna baðlý bazý durumlarda uygun olmayabilir. Biyolojik protezler ile replasman uzun süreli olgularda uzun dönemde en iyi sonucu verebilir.

Post-traumatic tricuspid insufficiency: a case report

Post-traumatic tricuspid insufficiency is a rare complication of chest trauma. An 18-year-old male patient was injured in a bicycle accident from his abdominal and anterior chest wall. The tear on the inferior diaphragmatic surface of the heart was repaired with primary sutures by the attending surgeon. Eighteen years later, he was admitted to the hospital with severe tricuspid regurgitation (3+/4+). During the operation, the valve was determined unsuitable for repair and was replaced with a bioprosthesis. The hemodynamic aberrations relevant to an isolated tricuspid valve injury are very often well-tolerated. Reconstructive surgery may be possible in the early period. In the late cases, repair is sometimes not feasible due to degeneration of the valvular apparatus. Replacement with a biological prosthesis may give the best long-term results in longstanding cases.