Tricuspid and Mitral Valve Regurgitation with Bi-fascicular Block Following a Horse Kick.
Abstract: 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.
Publication Date: 2018-01-11 PubMed ID: 29321434PubMed Central: PMC6028678DOI: 10.2169/internalmedicine.9762-17Google Scholar: Lookup
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Summary
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The research paper details a case of a man who had serious heart problems following a horse kick to the chest. The man experienced heart blockage, tricuspid valve damage, and miocardial valve damage. Treatments were successful and highlight the importance of thorough cardiac assessment and monitoring.
Case Overview
- In this paper, the researchers studied the case of a 40-year-old man who sustained a horse kick injury to the anterior chest wall.
- This injury resulted in significant cardiovascular complications, specifically a bi-fascicular block (which is a blockage of two of the three fascicles that carry electrical signals from the atrioventricular node to the ventricles), severe tricuspid valve regurgitation, and moderate mitral valve regurgitation.
Cardiac Damage
- Tricuspid valve regurgitation happened because of ruptured chordae tendineae of the anterior leaflet. The chordae tendineae are strands of connective tissue that help to hold the heart valves in place. When these chords ruptured, the valve was unable to close properly, causing blood to flow back into the atrium.
- Mitral valve regurgitation was due to the prolapse of the mitral anterior leaflet and resulted in incomplete closure of the valve, causing blood to leak back into the left atrium during the heart’s contraction.
- He also showed a hypokinetic motion of the inferior septal wall, indicating that the heart wall was moving less than normal, which suggests a decrease in cardiac functionality.
Treatment and Recovery
- The patient underwent a successful surgical operation which managed to completely repair both the tricuspid and mitral valve insufficiency; these repairs were essential to restoring normal blood flow within the heart and improving the patient’s health.
- The injuries, while serious, were not fatal in this case. However, the researchers underline that the comprehensive assessment of cardiac damage and careful monitoring are crucial in the management of patients with cardiac injury, as they can help prevent complications and fatal outcomes.
Implications
- This research paper serves as a critical reminder to healthcare providers about the potential severe cardiac consequences of blunt trauma to the chest.
- It underscores the importance of immediate and thorough cardiac assessment following such injuries to timely diagnose and manage any resultant cardiac complications.
Cite This Article
APA
Kokubun T, Oikawa M, Ichijo Y, Matsumoto Y, Yokokawa T, Nakazato K, Sato Y, Takase S, Shinjo H, Yokoyama H, Suzuki H, Saitoh SI, Takeishi Y.
(2018).
Tricuspid and Mitral Valve Regurgitation with Bi-fascicular Block Following a Horse Kick.
Intern Med, 57(11), 1597-1600.
https://doi.org/10.2169/internalmedicine.9762-17 Publication
Researcher Affiliations
- Department of Cardiovascular Medicine, Fukushima Medical University, Japan.
- Department of Cardiovascular Medicine, Fukushima Medical University, Japan.
- Department of Cardiovascular Medicine, Fukushima Medical University, Japan.
- Department of Cardiovascular Medicine, Fukushima Medical University, Japan.
- Department of Cardiovascular Medicine, Fukushima Medical University, Japan.
- Department of Cardiovascular Medicine, Fukushima Medical University, Japan.
- Department of Cardiovascular Surgery, Fukushima Medical University, Japan.
- Department of Cardiovascular Surgery, Fukushima Medical University, Japan.
- Department of Cardiovascular Surgery, Fukushima Medical University, Japan.
- Department of Cardiovascular Surgery, Fukushima Medical University, Japan.
- Department of Cardiovascular Medicine, Fukushima Medical University, Japan.
- Department of Cardiovascular Medicine, Fukushima Medical University, Japan.
- Department of Cardiovascular Medicine, Fukushima Medical University, Japan.
MeSH Terms
- Adult
- Animals
- Bundle-Branch Block / diagnosis
- Bundle-Branch Block / etiology
- Bundle-Branch Block / surgery
- Chordae Tendineae / injuries
- Heart Injuries / diagnosis
- Heart Injuries / etiology
- Heart Injuries / therapy
- Horses
- Humans
- Male
- Mitral Valve Insufficiency / diagnosis
- Mitral Valve Insufficiency / etiology
- Mitral Valve Insufficiency / surgery
- Tricuspid Valve Insufficiency / diagnosis
- Tricuspid Valve Insufficiency / etiology
- Tricuspid Valve Insufficiency / surgery
References
This article includes 16 references
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Citations
This article has been cited 3 times.- Mistry R, Falland RL, Wheeler M, Sidebotham D. Traumatic Injury to Both Atrioventricular Valves. CASE (Phila) 2021 Oct;5(5):329-334.
- Dorge M, Deleuse R, Pouleur AC, Badii MC. Severe tricuspid regurgitation after a horse kick: a case report of a rare cause of acquired valvulopathy. Eur Heart J Case Rep 2025 Feb;9(2):ytae691.
- Ashcroft E, Beeton I, Sharma P, Baltabaeva A. Tricuspid valve: Once disregarded, now acknowledged. Int J Cardiol Congenit Heart Dis 2022 Jun;8:100343.
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