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At the cardiovascular surgery centre, a 29_ year old female patient was referred to me for medical consultation, complaining of edema in both legs, abdominal ascites, weakness, and lethargy. Initial evaluations revealed no significant abnormalities, with the exception of severe tricuspid insufficiency, which was particularly perplexing given the patient’s lack of prior cardiac history or known risk factors for valvular disease. Further investigation uncovered a critical detail; the patient sustained a right humerus fracture in an explosive incident two months ago. The main question: could this traumatic event be linked to the acute tricuspid valve dysfunction? I immediately conducted a thorough examination of the situation. Can understanding these complex interactions lead to effective treatment and improve patient outcomes, or will this case remain an unresolved challenge?