Conclusion
Echocardiography plays a key role in evaluation of patients, who may
have traumatic tricuspid regurgitation. It is also used to evaluate
valvular apparatus , which is important when surgery is being
considered. Recent advances in 3-D
TEE can provide better assessment of valvular heart disease. Physicians
should be aware of immediate and long term sequele of blunt chest trauma
that requires close follow up years after the accident.
Figure 1:
A. TEE biplane view showed two TR jets, one arising from the basal
anterior leaflet and the other from central leaflet coaptation (red
arrows)
B. TEE deep transgastric view showing color doppler regurgitant jet
through anterior leaflet (red arrow)
C. TEE midesophageal right ventricle inflow view showing central and
anterior regurgitant jet (red arrows)
D. TEE mid-esophageeal four-chamber view showing tricuspid annual
dilatation (red arrow)