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Traumatic Tricuspid Regurgitation Presenting as Refractory Shock After Polytrauma: Diagnostic and Resuscitative Implications

Year: 2026

Type: article

Abstract: In polytrauma patients, persistent or unexplained hemodynamic instability is commonly attributed to hemorrhage, hypovolemia, or septic evolution. Compensatory neuro-cardiovascular responses may temporarily mask structural cardiac injury and delay diagnosis. Traumatic tricuspid valve injury is a rare condition in which physiological compensation and right-ventricular adaptation can initially preserve systemic perfusion but progressively impair circulatory efficiency. We report the case of a young polytrauma patient and a targeted narrative review to shed light on a rare cause of hemodynamic instability in blunt chest trauma, emphasizing that identifying the underlying mechanism of shock is crucial for adequate management.

Source: Emergency Care and Medicine

DOI: 10.3390/ecm3030029

Authors: Chiara Angeletti, Giulia Salve, Roberta Maiorino, Franco De Remigis, Davide Pirro, Paolo Di Emidio, Stefano Di Filippantonio, Federica Venturoni

Language: English

Topic: Trauma Management and Diagnosis

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,207

OpenAlex ID: W7204168272

FWCI:

Cites: 19

Cited by:

Related to: 10