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Penetrating cardiac injury with tricuspid valve destruction

Imaging findings

CT and echocardiography demonstrate a ballistic track crossing the right side of the heart. Echocardiography shows complete destruction of the tricuspid valve with severe regurgitation. Follow-up CT hours later shows expanding RV thrombus and ischemic septal hypoperfusion from RCA injury.

Key takeaways

Penetrating cardiac trauma (e.g., from gunshots) can destroy the valvular apparatus (most commonly tricuspid or aortic) and cause acute ischemic complications from coronary artery injury.

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