Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 20279,
    "title": "Traumatic Atrial Septal Defect with Tricuspid Regurgitation Following Blunt Chest Trauma Presenting as Hypoxemia: A Case Report",
    "subtitle": null,
    "abstract": "<p><strong>Introduction:</strong> Although myocardial injury is common after blunt chest trauma, tricuspid valve injury associated with traumatic atrial septal defect resulting in acute hypoxia is an infrequent event. We report an unusual case of blunt chest trauma referred to us for unexplained hypoxemia, emphasizing the unusual nature of injury and the importance of comprehensive cardiac evaluation in such cases.  <br> <br><strong>Case Report:</strong> A 35-year-old male presented to the emergency department after falling from a tree from an approximate height of 15 feet. He sustained multiple rib fractures and a left hemopneumothorax. Examination revealed decreased air entry over the left hemithorax and a systolic murmur over the left sternal border. Electrocardiography showed a junctional rhythm, and troponin levels were significantly elevated. Despite tube thoracostomy, the patient remained hypoxemic. Cardiology evaluation revealed a flail tricuspid valve with severe regurgitation and a traumatic atrial septal defect (ASD). Bidirectional shunting across the atrial septal defect was causing hypoxemia. The patient underwent surgical repair of the ASD and tricuspid valve, which resulted in a successful outcome.   </p>\n<p><strong>Conclusion:</strong> Our case highlights the need for comprehensive cardiac evaluation in such patients. In addition to sonography for trauma, point-of-care echocardiographic examination should be a part of the focused assessment.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Cardiac blunt trauma"
        },
        {
            "word": "tricuspid regurgitation"
        },
        {
            "word": "hypoxia"
        },
        {
            "word": "echocardiographic examination"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2q60p7nf",
    "frozenauthors": [
        {
            "first_name": "Aamir",
            "middle_name": "",
            "last_name": "Rashid",
            "name_suffix": "",
            "institution": "Sher-i-Kashmir Institute of Medical Sciences Soura, Department of Cardiology, Srinagar, Jammu and Kashmir, India",
            "department": ""
        },
        {
            "first_name": "Farooq",
            "middle_name": "Ahmad",
            "last_name": "Ganie",
            "name_suffix": "",
            "institution": "Sher-i-Kashmir Institute of Medical Sciences Soura, Department of Cardiovascular and Thoracic Surgery, Srinagar, Jammu and Kashmir, India",
            "department": ""
        },
        {
            "first_name": "Hilal",
            "middle_name": "",
            "last_name": "Rather",
            "name_suffix": "",
            "institution": "Sher-i-Kashmir Institute of Medical Sciences Soura, Department of Cardiology, Srinagar, Jammu and Kashmir, India",
            "department": ""
        },
        {
            "first_name": "Shahood",
            "middle_name": "",
            "last_name": "Ajaz Kakroo",
            "name_suffix": "",
            "institution": "Sher-i-Kashmir Institute of Medical Sciences Soura, Department of Cardiology, Srinagar, Jammu and Kashmir, India",
            "department": ""
        },
        {
            "first_name": "Raja",
            "middle_name": "Suhail",
            "last_name": "Shounthoo",
            "name_suffix": "",
            "institution": "Sher-i-Kashmir Institute of Medical Sciences Soura, Department of Anesthesia, Srinagar, Jammu and Kashmir, India",
            "department": ""
        }
    ],
    "date_submitted": "2024-02-24T02:09:35.335000Z",
    "date_accepted": "2024-06-20T19:19:51.642000Z",
    "date_published": "2024-09-21T16:16:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/20279/galley/30156/download/"
        }
    ]
}