Covert tricuspid valve rupture secondary to blunt chest trauma

摘要

A 64-year-old man presented with recent-onset heart failure. His past history included a high-speed motor vehicle accident with multiple fractures and blunt chest trauma 23 years earlier. Physical examination showed significant congestive heart failure. Cardiovascular examination revealed a tricuspid regurgitation murmur. Chest radiography demonstrated severe car-diomegaly, mainly in the right-sided chambers (Figure 1A).