# Tricuspid Regurgitation-Induced Shunt Reversal Leading to Paradoxical Embolic Stroke

**Authors:** Cheng-Hao Jacky Chen, Ujwal Aluru, Ashish Sakharpe, Sri Varsha Pulijal

PMC · DOI: 10.1016/j.case.2025.10.004 · CASE : Cardiovascular Imaging Case Reports · 2025-11-22

## TL;DR

This paper discusses how tricuspid valve injuries can lead to a dangerous reversal of blood flow, causing strokes and requiring surgical treatment.

## Contribution

The paper highlights the clinical significance of tricuspid regurgitation-induced shunt reversal and its potential to cause paradoxical embolic stroke.

## Key findings

- Significant tricuspid regurgitation can cause right-to-left flow in an interatrial shunt.
- Surgical intervention may prevent progression to right heart failure.
- Echocardiography is crucial for diagnosing cardiac injuries.

## Abstract

•TV injuries are rare but can be clinically challenging.•Echocardiography is a valuable tool in diagnosing cardiac injuries.•Significant TR can cause right-to-left flow in an interatrial shunt.•Surgical intervention may halt progression to right heart failure.

TV injuries are rare but can be clinically challenging.

Echocardiography is a valuable tool in diagnosing cardiac injuries.

Significant TR can cause right-to-left flow in an interatrial shunt.

Surgical intervention may halt progression to right heart failure.

## Full-text entities

- **Diseases:** Stroke (MESH:D020521)

## Full text

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## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13007523/full.md

## References

12 references — full list in the complete paper: https://tomesphere.com/paper/PMC13007523/full.md

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Source: https://tomesphere.com/paper/PMC13007523