A 52-year man was admitted to the emergency department after being crushed between his truck and its trailer. He quickly showed a cardiovascular collapse and an extracorporeal membrane oxygenation was placed. Transthoracic echocardiography (TTE) revealed a severe tricuspid regurgitation (TR), a pericardial effusion, and a laceration of the right ventricular free wall (Panel A, Supplementary data online, Loop S1). Transoesophageal echocardiography confirmed the severe TR due to a rupture of the posterior papillary muscle (Panel B, Supplementary data online, Loop S2) and also showed an interatrial communication due to a tear of the interatrial septum (Panel C), with a left-to-righ shunt that reversed during the cardiac systole because of the TR (Panel D, Supplementary data online, Loop S3). [...]
Robaye, B., Pasquet, A., El Khoury, G., & Lemaire, G. (2019). My right heart is broken. European heart journal cardiovascular Imaging, 20(1), 119. https://doi.org/10.1093/ehjci/jey155 (Original work published 2019)