The Double Jeopardy of Blunt Chest Trauma: A Case Report and Review

Cardiac injury, specifically valvular rupture, must be considered after blunt chest trauma even in previously healthy patients. Isolated mitral regurgitation (MR) and tricuspid regurgitation (TR) due to blunt chest trauma are rare phenomena. More unique is simultaneous complete papillary muscle rupt...

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Veröffentlicht in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2006-03, Vol.23 (3), p.235-239
Hauptverfasser: Varahan, Subha L., Farah, George M., Caldeira, Christiano C., Hoit, Brian D., Askari, Arman T.
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container_start_page 235
container_title Echocardiography (Mount Kisco, N.Y.)
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creator Varahan, Subha L.
Farah, George M.
Caldeira, Christiano C.
Hoit, Brian D.
Askari, Arman T.
description Cardiac injury, specifically valvular rupture, must be considered after blunt chest trauma even in previously healthy patients. Isolated mitral regurgitation (MR) and tricuspid regurgitation (TR) due to blunt chest trauma are rare phenomena. More unique is simultaneous complete papillary muscle rupture of the mitral valve (MV) and tricuspid valve (TV) with only four patients being previously reported in the literature. This case describes a patient with complete transection of the posteromedial papillary muscle of the MV with severe MR and a concomitant flail TV with severe TR following a motor vehicular accident. The importance of transthoracic and transesophageal echocardiography in the early evaluation of patients following blunt chest trauma is also highlighted by this case.
doi_str_mv 10.1111/j.1540-8175.2006.00151.x
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Accidents, Traffic
Adult
Echocardiography, Transesophageal
Heart Injuries - diagnostic imaging
Heart Injuries - surgery
Humans
Male
Mitral Valve - diagnostic imaging
Mitral Valve - injuries
Mitral Valve - surgery
surgery
Thoracic Injuries - diagnostic imaging
Thoracic Injuries - surgery
traumatic mitral regurgitation
traumatic tricuspid regurgitation
Tricuspid Valve - diagnostic imaging
Tricuspid Valve - injuries
Tricuspid Valve - surgery
valve replacement
Wounds, Nonpenetrating - diagnostic imaging
Wounds, Nonpenetrating - surgery
title The Double Jeopardy of Blunt Chest Trauma: A Case Report and Review
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