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Traumatic avulsion of the tricuspid valve: an unusual cardiac complication of an equine accident
  1. Alexandra White1,
  2. Paul Cullen2 and
  3. John Hinchion2
  1. 1Cardiothoracic Surgery, Galway University Hospitals, Galway, Ireland
  2. 2Cardiothoracic Surgery, Cork University Hospital, Cork, Ireland
  1. Correspondence to Dr Alexandra White; alexandrawhite{at}


A stablehand in his 20s presented with increasing dyspnoea on exertion and chest pain months after being kicked directly in the chest by a horse. Further investigations revealed severe isolated, primary tricuspid regurgitation due to partial avulsion of the anterior leaflet. Open surgical repair was successfully performed from which he recovered uneventfully with resolution of his symptoms and minimal residual tricuspid regurgitation. Although uncommon, blunt force trauma to the chest is becoming increasingly recognised as a rare cause of tricuspid regurgitation. Symptoms may be insidious, and a high index of suspicion is required to avoid missing the diagnosis.

  • Valvar diseases
  • Cardiothoracic surgery
  • Ultrasonography

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  • Contributors AW: collection of data, literature review and initial draft, images; PC: literature review, review and editing of drafts; JH: planning, conception, design, review of drafts and final editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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