Severe Tricuspid Valve Regurgitation Due to Chordal Rupture Following Blunt Chest Trauma: A Case Report

Abstract

Aims: Tricuspid valve injuries from blunt chest trauma are rare but can have serious consequences. The incidence of these injuries has significantly increased due to the high rate of road accidents and diagnostic progress. Despite this increase, these injuries continue to be underdiagnosed, which affects the timing and quality of treatment outcomes. The aim of this report is to highlight the importance of early diagnosis and intervention for tricuspid valve injuries, even when symptoms are not immediately evident. Presentation of Case: We report a case of a 56-year-old male with no significant medical history who developed severe tricuspid regurgitation following a motor vehicle accident. Initially, the patient exhibited no cardiac symptoms and was referred for cardiac evaluation only after a CT CAP (Chest, Abdomen, Pelvis) scan, performed 10 days after the accident, revealed minimal pericardial effusion. Echocardiography revealed severe eccentric tricuspid regurgitation due to anterior leaflet chordal rupture, along with moderate right ventricular dilation. Despite the recommendation for surgical repair, the patient declined surgery due to the absence of symptoms. Conclusion: This case emphasizes the importance of considering potential cardiac complications, even when symptoms are not specific. Rapid, accurate diagnosis and early surgical intervention can significantly improve prognosis and reduce long-term cardiac complications.