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Traumatic avulsion of the tricuspid valve after gas bottle explosion


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.


  1. Aykut K, Kaya M & Acikel U 2013 Rupture of the tricuspid valve due to smashing the chest into the steering wheel. Annals of Thoracic Cardiovascular Surgery 19 222–224. (doi:10.5761/

    Article  Google Scholar 

  2. Khurana S, Puri R, Wong D, Dundon BK, Brown MA, Worthley MI & Worthley SG 2009 Latent tricuspid valve rupture after motor vehicle accident and routine echocardiography in all chest-wall traumas. Texas Heart Institue Journal 36 615–617.

    Google Scholar 

  3. Katz NM & Pallas RS 1986 Traumatic rupture of the tricuspid valve: repair by chordae replacement and annuloplasty. Journal of Thoracic Cardiovascular Surgery 91 310–314.

    Article  CAS  Google Scholar 

  4. Mehrotra D, Dalley P & Mahon B 2012 Tricuspid valve avulsion after blunt chest trauma. Texas Heart Institute Journal 39 668–670.

    PubMed  PubMed Central  Google Scholar 

  5. Acar B, Suleymanoglu M, Burak C, Demirkan BM, Guray Y, Tufekcioglu O& Aydogdu S 2015 Severe tricuspid regurgitation diagnosed 13 years after a car accident: a case report. Journal of Tehran Heart Centre 10 50–52.

    Google Scholar 

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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).

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