[Traumatic papillary muscle rupture--a case report].
A previously healthy young man sustained a chest injury. During hospital admission following the accident, he exhibited progressive deterioration in blood gases. The chest X-ray showed pulmonary venous congestion. Positive pressure ventilation was required with a tentative diagnosis of respiratory distress syndrome. However, he remained in NYHA class IV. Trans-esophageal cross-sectional echocardiography showed prolapse of the anterior mitral leaflet with papillary muscle rupture. Mitral valve replacement was performed successfully.
Kawai
A
A
Department of Cardiovascular Surgery, Tokyo Women's Medical College, Japan.
Saito
S
S
Takazawa
A
A
Aomi
S
S
Endo
M
M
Koyanagi
H
H
D000293:Adolescent; D006341:Heart Rupture / Q000209:etiology / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D010210:Papillary Muscles / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications*