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)