{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:32:10Z","timestamp":1777447930392,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T00:00:00Z","timestamp":1672012800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>Structural cardiac injury after blunt trauma is uncommon but usually life-threatening. While tricuspid injury is very rare and potentially lethal, the right heart can accommodate larger volumes and higher pressures in acute tricuspid insufficiency and facilitate initial stabilization prior to definitive valvular repair. ECMO may be used to ameliorate resulting right heart failure. The traumatic force required to cause cardiac structural injury is also associated with pulmonary complications related to pneumothorax, hemothorax, effusion, acute pain secondary to rib fractures, and pulmonary contusions causing hypoxia. We present an unusual case of hypoxia in a trauma patient caused by acute tricuspid regurgitation with pre-existing patent foramen ovale.<\/jats:p>","DOI":"10.1177\/00031348221148357","type":"journal-article","created":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T03:49:50Z","timestamp":1672026590000},"page":"4992-4995","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Persistent Hypoxia After Blunt Thoracic Trauma due to Flail Tricuspid Valve Leaflet and Patent Foramen Ovale"],"prefix":"10.1177","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1749-3983","authenticated-orcid":false,"given":"Nikia T.","family":"Toomey","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5341-7545","authenticated-orcid":false,"given":"Angel","family":"Do\u00f1o","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassidy","family":"Lounsbury","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saskya","family":"Byerly","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"},{"name":"Division of Trauma\/Critical Care, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4890-5637","authenticated-orcid":false,"given":"John","family":"Craig","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"},{"name":"Cardiothoracic Surgery, The Chattanooga Heart Institute, Chattanooga, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William M.","family":"Decampli","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiothoracic Surgery, Arnold Palmer Hospital for Children, Orlando, FL, USA"},{"name":"Department of Clinical Sciences, University of Central Florida College of Medicine, Orlando, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily K.","family":"Lenart","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA"},{"name":"Division of Trauma\/Critical Care, University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,12,26]]},"reference":[{"key":"bibr1-00031348221148357","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2007.03.018"},{"key":"bibr2-00031348221148357","doi-asserted-by":"publisher","DOI":"10.21037\/med-21-19"},{"key":"bibr3-00031348221148357","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2005.05.028"},{"key":"bibr4-00031348221148357","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2017-312111"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221148357","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221148357","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221148357","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:18Z","timestamp":1777379778000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221148357"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,26]]},"references-count":4,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1177\/00031348221148357"],"URL":"https:\/\/doi.org\/10.1177\/00031348221148357","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,26]]}}}