Tricuspid and Mitral Valve Regurgitation with Bi-fascicular Block Following a Horse Kick

A 40-year-old man was transferred to our hospital following an isolated horse kick injury to the anterior chest wall. The case showed bi-fascicular block, severe tricuspid valve regurgitation due to ruptured chordae tendineae of the anterior leaflet, moderate mitral valve regurgitation due to prolap...

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Detalles Bibliográficos
Autores principales: Kokubun, Tomoki, Oikawa, Masayoshi, Ichijo, Yasuhiro, Matsumoto, Yoshiyuki, Yokokawa, Tetsuro, Nakazato, Kazuhiko, Sato, Yoshiyuki, Takase, Shinya, Shinjo, Hiroharu, Yokoyama, Hitoshi, Suzuki, Hitoshi, Saitoh, Shu-ichi, Takeishi, Yasuchika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028678/
https://www.ncbi.nlm.nih.gov/pubmed/29321434
http://dx.doi.org/10.2169/internalmedicine.9762-17
Descripción
Sumario:A 40-year-old man was transferred to our hospital following an isolated horse kick injury to the anterior chest wall. The case showed bi-fascicular block, severe tricuspid valve regurgitation due to ruptured chordae tendineae of the anterior leaflet, moderate mitral valve regurgitation due to prolapse of mitral anterior leaflet, and hypokinetic motion of the inferior septal wall. Both tricuspid and mitral insufficiency were completely repaired by a surgical operation. Fortunately, these injuries were not fatal in this case, but the comprehensive assessment of cardiac damage and careful observation are important for managing patients with cardiac injury.

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