{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:10:07Z","timestamp":1756314607915,"version":"3.44.0"},"reference-count":33,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,18]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Our patient presented to the emergency room following a motor vehicle accident. The traumatic tricuspid valve rupture was diagnosed by transthoracic echocardiogram, and his respiratory status declined rapidly. He was placed on veno-venous extracorporeal membrane oxygenation (VV ECMO) to bridge him to surgical repair. Transoesophageal echocardiography revealed a large atrial septal defect (ASD) with the combination of both injuries leading to severe left-to-right shunting that was underappreciated in the initial management of the patient. The tricuspid valve and the ASD were repaired. In this patient, in the context of both tricuspid valve rupture and ASD, veno-arterial ECMO or percutaneous right ventricular assist devices may have also helped bridge the patient to surgical repair of his blunt cardiac injuries.<\/jats:p>","DOI":"10.1136\/bcr-2024-264021","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T08:41:04Z","timestamp":1738140064000},"page":"e264021","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Severe left-to-right shunting from combined traumatic tricuspid valve rupture and atrial septal defect: bridge to surgical repair using veno-venous ECMO"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0772-236X","authenticated-orcid":false,"given":"Toyokazu","family":"Endo","sequence":"first","affiliation":[{"name":"Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Bonvillain","sequence":"additional","affiliation":[{"name":"University of Louisville School of Medicine, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark S","family":"Slaughter","sequence":"additional","affiliation":[{"name":"Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin M","family":"Schumer","sequence":"additional","affiliation":[{"name":"Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,29]]},"reference":[{"key":"2025082709332929000_18.1.e264021.1","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2009.206599"},{"key":"2025082709332929000_18.1.e264021.2","doi-asserted-by":"crossref","first-page":"S141","DOI":"10.21037\/jtd.2018.11.53","article-title":"Pulmonary contusion","volume":"11","author":"Rendeki","year":"2019","journal-title":"J Thorac Dis"},{"key":"2025082709332929000_18.1.e264021.3","doi-asserted-by":"crossref","first-page":"68","DOI":"10.5090\/kjtcs.20.003","article-title":"Traumatic Tricuspid Regurgitation Treated by the Minimally Invasive Double Orifice Technique","volume":"54","author":"Lee","year":"2021","journal-title":"J Chest Surg"},{"key":"2025082709332929000_18.1.e264021.4","first-page":"346","article-title":"Traumatic Atrial Septal Defect with Tricuspid Regurgitation Following Blunt Chest Trauma Presenting as Hypoxemia: A Case Report","volume":"8","author":"Rashid","year":"2024","journal-title":"Clin Pract Cases Emerg Med"},{"key":"2025082709332929000_18.1.e264021.5","doi-asserted-by":"publisher","DOI":"10.1378\/chest.108.6.1673"},{"key":"2025082709332929000_18.1.e264021.6","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2017-312111"},{"key":"2025082709332929000_18.1.e264021.7","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1186\/s13019-023-02146-z","article-title":"Managing blunt cardiac injury","volume":"18","author":"Nair","year":"2023","journal-title":"J Cardiothorac Surg"},{"key":"2025082709332929000_18.1.e264021.8","doi-asserted-by":"crossref","first-page":"4534","DOI":"10.3390\/jcm11154534","article-title":"Factors Associated with Cardiac\/Pericardial Injury among Blunt Injury Patients: A Nationwide Study in Japan","volume":"11","author":"Ishida","year":"2022","journal-title":"J Clin Med"},{"key":"2025082709332929000_18.1.e264021.9","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1186\/s40792-024-01837-6","article-title":"Delayed traumatic aortic valve perforation after blunt chest trauma","volume":"10","author":"Noda","year":"2024","journal-title":"Surg Case Rep"},{"key":"2025082709332929000_18.1.e264021.10","first-page":"272","article-title":"Acute severe mitral regurgitation after blunt chest trauma","volume":"35","author":"Saric","year":"2018","journal-title":"Echo"},{"key":"2025082709332929000_18.1.e264021.11","doi-asserted-by":"publisher","DOI":"10.1177\/0218492309354219"},{"key":"2025082709332929000_18.1.e264021.12","doi-asserted-by":"crossref","first-page":"4546","DOI":"10.1016\/j.radcr.2022.09.021","article-title":"Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound","volume":"17","author":"Batchelor","year":"2022","journal-title":"Radiol Case Rep"},{"key":"2025082709332929000_18.1.e264021.13","doi-asserted-by":"crossref","first-page":"100327","DOI":"10.1016\/j.tcr.2020.100327","article-title":"False negative of pericardial effusion using focused assessment with sonography for trauma and enhanced CT following traumatic cardiac rupture; 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