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Traumatic avulsion of the tricuspid valve after gas bottle explosion

Summary

We present a very rare example of chronic right heart failure caused by torrent tricuspid regurgitation. Massive right heart dilatation and severe tricuspid regurgitation due to avulsion of the tricuspid valve apparatus occurred as a result of a blunt chest trauma following the explosion of a gas bottle 20 years before admission, when the patient was a young man in Vietnam. After this incident, the patient went through a phase of severe illness, which can retrospectively be identified as an acute right heart decompensation with malaise, ankle edema, and dyspnea. Blunt chest trauma caused by explosives leading to valvular dysfunction has not been reported in the literature so far. It is remarkable that the patient not only survived this trauma, but had been managing his chronic heart failure well without medication for over 20 years.

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This research did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.

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Correspondence to Francesca Tedoldi.

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Tedoldi, F., Krisper, M., Köhncke, C. et al. Traumatic avulsion of the tricuspid valve after gas bottle explosion. Echo Res Pract 3, K21–K24 (2016). https://doi.org/10.1530/ERP-16-0014

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  • DOI: https://doi.org/10.1530/ERP-16-0014