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THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER

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<strong>TEHRAN</strong> <strong>HEART</strong> <strong>CENTER</strong><br />

185 Post-Traumatic Chordae Rupture of<br />

Tricuspid Valve<br />

Kyomars Abbasi, MD, Hossein Ahmadi, MD, Arezoo<br />

Zoroufian, MD, Mohammad Sahebjam, MD, Naghmeh<br />

Moshtaghi, MD, Seyed Hessamedin Abbasi, MD *<br />

Tehran Heart Center, Tehran University of Medical Sciences,<br />

Tehran, Iran.<br />

*<br />

Seyed-Hesameddin Abbasi, Tehran University of<br />

Medical Sciences, Tehran Heart Center, North Kargar Street,<br />

Tehran, Iran. 1411713138. Tel: +98 21 88029720. Fax: +98 21<br />

88029702. E-mail: abbasi@tehranheartcenter.org.<br />

The two cases presented herein demonstrate<br />

that the rupture of the chordae tendineae of the<br />

tricuspid valve could be another cause of TR following<br />

blunt chest trauma. This is, however, a condition that<br />

can be repaired surgically without the need for valve<br />

replacement. Advances in echocardiography have<br />

enabled earlier diagnosis and ergo more effective<br />

treatment.<br />

We recommend that physicians working at<br />

emergency departments be on the alert for this<br />

potential complication of non-penetrating chest trauma<br />

and subject all patients admitted to the emergency<br />

department due to blunt chest trauma to TTE or TEE<br />

for accurate diagnosis.<br />

The LV pseudoaneurysm is an important<br />

complication that may occur late after MVR and<br />

thus necessitates due heed on the part of cardiologists<br />

and cardiac surgeons.<br />

LETTER TO <strong>THE</strong> EDITOR<br />

191 A Memorandum of "World Heart Day<br />

2012": Myocardial Infarction Mortality in<br />

Women in Birjand, 2008-2009<br />

Toba Kazemi, MD, Gholam Reza Sharifzadeh, MSc<br />

Valiassr Hospital, Birjand University of Medical Sciences<br />

(BUMS), Birjand, Iran.<br />

*<br />

Toba Kazemi, Associate Professor of Cardiology, Birjand<br />

University of Medical Sciences (BUMS), Valiassr Hospital, Ghafari<br />

Avenue, Birjand, Iran. 9717964151. Tel: +98 56 14443001-9. Fax:<br />

+98 56 14433004. E-mail: drtooba.kazemi@gmail.com.<br />

192 Ball in Chest<br />

PHOTO CLININC<br />

Mohammad Bagher Rahim, MD, Mohammad Hossein<br />

Mandegar, MD, Farideh Roshanali, MD *<br />

Shariati General Hospital, Tehran University of Medical<br />

Sciences, Tehran, Iran.<br />

188 Late Diagnosis of Large Left Ventricular<br />

Pseudoaneurysm after Mitral Valve<br />

Replacement and Coronary Artery Bypass<br />

Surgery by Real-Time Three-Dimensional<br />

Echocardiography<br />

*<br />

Farideh Roshanali, Shriati Hospital, North Kargar Street,<br />

Tehran, Iran. Tel: +98 912 3093151. Fax: +98 21 88797353. E-mail:<br />

farideh_roshanali@yahoo.com.<br />

Mohammad Sahebjam, MD * , Abbas Salehiomran, MD, Neda<br />

Ghaffari-Marandi, MD, Azam Safir, MD<br />

Tehran Heart Center, Tehran University of Medical Sciences,<br />

Tehran, Iran.<br />

*<br />

Mohammad Sahebjam, Assistant Professor of Cardiology,<br />

Echocardiography Department, Tehran Heart Center, Jalal Al Ahmad<br />

and North Kargar Intersection, Tehran, Iran. 1411713138. Tel: +98 21<br />

88029600. Fax: +98 21 88029731. E-mail: msahebjam@yahoo.com.

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