Tricuspid and Mitral Valve Regurgitation with Bi-fascicular Block Following a Horse Kick

Tomoki Kokubun; Masayoshi Oikawa; Yasuhiro Ichijo; Yoshiyuki Matsumoto; Tetsuro Yokokawa; Kazuhiko Nakazato; Yoshiyuki Sato; Shinya Takase; Hiroharu Shinjo; Hitoshi Yokoyama; Hitoshi Suzuki; Shu-ichi Saitoh; Yasuchika Takeishi

doi:10.2169/internalmedicine.9762-17

CASE REPORTS

Tricuspid and Mitral Valve Regurgitation with Bi-fascicular Block Following a Horse Kick

Tomoki Kokubun, Masayoshi Oikawa, Yasuhiro Ichijo, Yoshiyuki Matsumoto, Tetsuro Yokokawa, Kazuhiko Nakazato, Yoshiyuki Sato, Shinya Takase, Hiroharu Shinjo, Hitoshi Yokoyama, Hitoshi Suzuki, Shu-ichi Saitoh, Yasuchika Takeishi

Author information

Tomoki Kokubun
Department of Cardiovascular Medicine, Fukushima Medical University, Japan
Masayoshi Oikawa
Department of Cardiovascular Medicine, Fukushima Medical University, Japan
Yasuhiro Ichijo
Department of Cardiovascular Medicine, Fukushima Medical University, Japan
Yoshiyuki Matsumoto
Department of Cardiovascular Medicine, Fukushima Medical University, Japan
Tetsuro Yokokawa
Department of Cardiovascular Medicine, Fukushima Medical University, Japan
Kazuhiko Nakazato
Department of Cardiovascular Medicine, Fukushima Medical University, Japan
Yoshiyuki Sato
Department of Cardiovascular Surgery, Fukushima Medical University, Japan
Shinya Takase
Department of Cardiovascular Surgery, Fukushima Medical University, Japan
Hiroharu Shinjo
Department of Cardiovascular Surgery, Fukushima Medical University, Japan
Hitoshi Yokoyama
Department of Cardiovascular Surgery, Fukushima Medical University, Japan
Hitoshi Suzuki
Department of Cardiovascular Medicine, Fukushima Medical University, Japan
Shu-ichi Saitoh
Department of Cardiovascular Medicine, Fukushima Medical University, Japan
Yasuchika Takeishi
Department of Cardiovascular Medicine, Fukushima Medical University, Japan

Keywords: blunt chest trauma, myocardial contusion, tricuspid valve regurgitation, mitral valve regurgitation, bi-fascicular block

JOURNAL OPEN ACCESS

2018 Volume 57 Issue 11 Pages 1597-1600

DOI https://doi.org/10.2169/internalmedicine.9762-17

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Details

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.

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