{"id":"https://openalex.org/W7204168272","doi":"https://doi.org/10.3390/ecm3030029","title":"Traumatic Tricuspid Regurgitation Presenting as Refractory Shock After Polytrauma: Diagnostic and Resuscitative Implications","display_name":"Traumatic Tricuspid Regurgitation Presenting as Refractory Shock After Polytrauma: Diagnostic and Resuscitative Implications","publication_year":2026,"publication_date":"2026-08-25","ids":{"openalex":"https://openalex.org/W7204168272","doi":"https://doi.org/10.3390/ecm3030029"},"language":"en","primary_location":{"id":"doi:10.3390/ecm3030029","doi":"https://doi.org/10.3390/ecm3030029","is_oa":true,"landing_page_url":"https://doi.org/10.3390/ecm3030029","pdf_url":null,"source":{"id":"https://openalex.org/S4387292427","display_name":"Emergency Care and Medicine","issn_l":"2813-7914","issn":["2813-7914"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Emergency Care and Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/ecm3030029","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5023801795","display_name":"Chiara Angeletti","orcid":"https://orcid.org/0000-0002-3656-1040","observed_orcids":["https://orcid.org/0000-0002-3656-1040"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chiara Angeletti","raw_affiliation_strings":["Department of Intensive Care Unit, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy"],"raw_orcid":"https://orcid.org/0000-0002-3656-1040","affiliations":[{"raw_affiliation_string":"Department of Intensive Care Unit, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032420819","display_name":"Giulia Salve","orcid":"https://orcid.org/0000-0002-6463-3339","observed_orcids":["https://orcid.org/0000-0002-6463-3339"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Giulia Salve","raw_affiliation_strings":["Department of Intensive Care Unit, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy"],"raw_orcid":"https://orcid.org/0000-0002-6463-3339","affiliations":[{"raw_affiliation_string":"Department of Intensive Care Unit, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148054930","display_name":"Roberta Maiorino","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Roberta Maiorino","raw_affiliation_strings":["Department of Intensive Care Unit, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Intensive Care Unit, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076422888","display_name":"Franco De Remigis","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Franco De Remigis","raw_affiliation_strings":["Department of Cardiology, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148065572","display_name":"Davide Pirro","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Davide Pirro","raw_affiliation_strings":["Department of Cardiology, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiology, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037524218","display_name":"Paolo Di Emidio","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Paolo Di Emidio","raw_affiliation_strings":["Department of Maxillofacial Surgery, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Maxillofacial Surgery, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092943793","display_name":"Stefano Di Filippantonio","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Stefano Di Filippantonio","raw_affiliation_strings":["Department of Orthopedic Surgery, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062956524","display_name":"Federica Venturoni","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Federica Venturoni","raw_affiliation_strings":["Department of Intensive Care Unit, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Intensive Care Unit, G. Mazzini Hospital, Piazza Italia, 64100 Teramo, Italy","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5032420819"],"corresponding_institution_ids":[],"apc_list":{"value":1000,"currency":"CHF","value_usd":1207},"apc_paid":{"value":1000,"currency":"CHF","value_usd":1207},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.61657051,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"3","issue":"3","first_page":"29","last_page":"29"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11951","display_name":"Trauma Management and Diagnosis","score":0.4787999987602234,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11951","display_name":"Trauma Management and Diagnosis","score":0.4787999987602234,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.4652999937534332,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11116","display_name":"Trauma, Hemostasis, Coagulopathy, Resuscitation","score":0.013100000098347664,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/traumatic-tricuspid-regurgitation","display_name":"traumatic tricuspid regurgitation","score":0.9860000014305115},{"id":"https://openalex.org/keywords/polytrauma","display_name":"polytrauma","score":0.9150000214576721},{"id":"https://openalex.org/keywords/refractory-shock","display_name":"refractory shock","score":0.9210000038146973},{"id":"https://openalex.org/keywords/hemodynamic-instability","display_name":"hemodynamic instability","score":0.8309999704360962},{"id":"https://openalex.org/keywords/blunt-chest-trauma","display_name":"blunt chest trauma","score":0.949999988079071},{"id":"https://openalex.org/keywords/right-ventricular-adaptation","display_name":"right ventricular adaptation","score":0.7419999837875366},{"id":"https://openalex.org/keywords/cardiac-injury","display_name":"cardiac injury","score":0.4909999966621399},{"id":"https://openalex.org/keywords/resuscitation","display_name":"resuscitation","score":0.6439999938011169},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.31299999356269836}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.84579998254776},{"id":"https://openalex.org/C2781300812","wikidata":"https://www.wikidata.org/wiki/Q178061","display_name":"Shock (circulatory)","level":2,"score":0.710099995136261},{"id":"https://openalex.org/C2776692886","wikidata":"https://www.wikidata.org/wiki/Q2103168","display_name":"Polytrauma","level":2,"score":0.6991999745368958},{"id":"https://openalex.org/C2780168065","wikidata":"https://www.wikidata.org/wiki/Q1930043","display_name":"Regurgitation (circulation)","level":2,"score":0.5946999788284302},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.5870000123977661},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.5494999885559082},{"id":"https://openalex.org/C142424586","wikidata":"https://www.wikidata.org/wiki/Q7307572","display_name":"Refractory (planetary science)","level":2,"score":0.5422000288963318},{"id":"https://openalex.org/C2777628635","wikidata":"https://www.wikidata.org/wiki/Q1765564","display_name":"Septic shock","level":3,"score":0.4941999912261963},{"id":"https://openalex.org/C105698618","wikidata":"https://www.wikidata.org/wiki/Q886371","display_name":"Blunt","level":2,"score":0.4837000072002411},{"id":"https://openalex.org/C2776371345","wikidata":"https://www.wikidata.org/wiki/Q5121708","display_name":"Circulatory collapse","level":2,"score":0.45509999990463257},{"id":"https://openalex.org/C2778914577","wikidata":"https://www.wikidata.org/wiki/Q1780241","display_name":"Tricuspid insufficiency","level":3,"score":0.4383000135421753},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.43380001187324524},{"id":"https://openalex.org/C72859922","wikidata":"https://www.wikidata.org/wiki/Q11068","display_name":"Circulatory system","level":2,"score":0.3846000134944916},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.35600000619888306},{"id":"https://openalex.org/C2908559789","wikidata":"https://www.wikidata.org/wiki/Q1780241","display_name":"Tricuspid Valve Insufficiency","level":3,"score":0.33889999985694885},{"id":"https://openalex.org/C2777521253","wikidata":"https://www.wikidata.org/wiki/Q770709","display_name":"Blunt trauma","level":2,"score":0.329800009727478},{"id":"https://openalex.org/C2910216633","wikidata":"https://www.wikidata.org/wiki/Q745438","display_name":"Inferior vena cava","level":2,"score":0.3273000121116638},{"id":"https://openalex.org/C2908638955","wikidata":"https://www.wikidata.org/wiki/Q5121708","display_name":"CIRCULATORY FAILURE","level":2,"score":0.3264999985694885},{"id":"https://openalex.org/C89611455","wikidata":"https://www.wikidata.org/wiki/Q6804646","display_name":"Mechanism (biology)","level":2,"score":0.31949999928474426},{"id":"https://openalex.org/C2779946567","wikidata":"https://www.wikidata.org/wiki/Q1344255","display_name":"Tricuspid valve","level":2,"score":0.3093999922275543},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3000999987125397},{"id":"https://openalex.org/C2777914111","wikidata":"https://www.wikidata.org/wiki/Q1064904","display_name":"Major trauma","level":2,"score":0.2930999994277954},{"id":"https://openalex.org/C146957229","wikidata":"https://www.wikidata.org/wiki/Q1266915","display_name":"Perfusion","level":2,"score":0.28369998931884766},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2775999903678894},{"id":"https://openalex.org/C2910701733","wikidata":"https://www.wikidata.org/wiki/Q178061","display_name":"Traumatic Shock","level":3,"score":0.2680000066757202},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.25949999690055847},{"id":"https://openalex.org/C139940330","wikidata":"https://www.wikidata.org/wiki/Q596579","display_name":"Cardiac output","level":3,"score":0.2572000026702881},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.2554999887943268},{"id":"https://openalex.org/C2780913535","wikidata":"https://www.wikidata.org/wiki/Q2140674","display_name":"Gunshot wound","level":2,"score":0.25459998846054077}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.3390/ecm3030029","doi":"https://doi.org/10.3390/ecm3030029","is_oa":true,"landing_page_url":"https://doi.org/10.3390/ecm3030029","pdf_url":null,"source":{"id":"https://openalex.org/S4387292427","display_name":"Emergency Care and Medicine","issn_l":"2813-7914","issn":["2813-7914"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Emergency Care and Medicine","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:2b2036218b614162ab2f224187618688","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/2b2036218b614162ab2f224187618688","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Emergency Care and Medicine, Vol 3, Iss 3, p 29 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3390/ecm3030029","doi":"https://doi.org/10.3390/ecm3030029","is_oa":true,"landing_page_url":"https://doi.org/10.3390/ecm3030029","pdf_url":null,"source":{"id":"https://openalex.org/S4387292427","display_name":"Emergency Care and Medicine","issn_l":"2813-7914","issn":["2813-7914"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Emergency Care and Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9391000270843506}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W2122477055","https://openalex.org/W2334445125","https://openalex.org/W2549875220","https://openalex.org/W2566860296","https://openalex.org/W2964952603","https://openalex.org/W3025456501","https://openalex.org/W3171233541","https://openalex.org/W4200289407","https://openalex.org/W4378215846","https://openalex.org/W4389118240","https://openalex.org/W4389503998","https://openalex.org/W4389957813","https://openalex.org/W4391466765","https://openalex.org/W4403576174","https://openalex.org/W4405589652","https://openalex.org/W4405736032","https://openalex.org/W4412425207","https://openalex.org/W4413812708","https://openalex.org/W4417098341"],"related_works":["https://openalex.org/W4412425207","https://openalex.org/W2918448378","https://openalex.org/W2318213023","https://openalex.org/W1988433262","https://openalex.org/W4380489728","https://openalex.org/W2945050820","https://openalex.org/W4312143992","https://openalex.org/W2044036258","https://openalex.org/W157222614","https://openalex.org/W2126674280"],"abstract_inverted_index":{"In":[0],"polytrauma":[1,61],"patients,":[2],"persistent":[3],"or":[4,14],"unexplained":[5],"hemodynamic":[6,76],"instability":[7,77],"is":[8,33,90],"commonly":[9],"attributed":[10],"to":[11,68],"hemorrhage,":[12],"hypovolemia,":[13],"septic":[15],"evolution.":[16],"Compensatory":[17],"neuro-cardiovascular":[18],"responses":[19],"may":[20],"temporarily":[21],"mask":[22],"structural":[23],"cardiac":[24],"injury":[25,32],"and":[26,41,63],"delay":[27],"diagnosis.":[28],"Traumatic":[29],"tricuspid":[30],"valve":[31],"a":[34,59,64,72],"rare":[35,73],"condition":[36],"in":[37,78],"which":[38],"physiological":[39],"compensation":[40],"right-ventricular":[42],"adaptation":[43],"can":[44],"initially":[45],"preserve":[46],"systemic":[47],"perfusion":[48],"but":[49],"progressively":[50],"impair":[51],"circulatory":[52],"efficiency.":[53],"We":[54],"report":[55],"the":[56,85],"case":[57],"of":[58,75,88],"young":[60],"patient":[62],"targeted":[65],"narrative":[66],"review":[67],"shed":[69],"light":[70],"on":[71],"cause":[74],"blunt":[79],"chest":[80],"trauma,":[81],"emphasizing":[82],"that":[83],"identifying":[84],"underlying":[86],"mechanism":[87],"shock":[89],"crucial":[91],"for":[92],"adequate":[93],"management.":[94]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2026-08-26T00:00:00"}