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High-Risk Repair of Traumatic Mitral Valve Rupture in the Setting of Polytrauma

Overview
Journal Thorac Cardiovasc Surg Rep
Date 2018 Feb 24
PMID 29473013
Citations 2
Authors
Michael John Paisley
Zachary DeBoard
Donald Thomas
Affiliations
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Abstract

 The rare complication of mitral valve rupture from blunt trauma is certainly not at the top of the differential of shock.  We report the case of a 56-year-old woman who sustained numerous injuries after a 30-m fall with cardiogenic shock secondary to mitral valve rupture causing severe mitral valve regurgitation. Management included successful primary leaflet repair, annuloplasty, and single vessel coronary artery bypass.  Valvular repair in the setting of polytrauma is a complex decision that requires careful balance of risks and benefits relative to patient stability.

Citing Articles

Ventricular Septal Defect and Mitral Regurgitation Due to Penetrating Cardiac Trauma; a Case Report and Review of Literature.

Mortezaeian H, Tabib A, Pouraliakbar H, Anafje M, Ebrahimi P, Soltani P Arch Acad Emerg Med. 2024; 12(1):e25.

PMID: 38572216 PMC: 10988181. DOI: 10.22037/aaem.v12i1.2267.

Mitral valve repair in severe mitral regurgitation after blunt chest trauma.

Rincon-Tello F, Maldonado-Escalante J, Sanchez-Rojas J, Perez-Rivera C, Serna L Trauma Case Rep. 2022; 41:100681.

PMID: 36035601 PMC: 9399377. DOI: 10.1016/j.tcr.2022.100681.

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