Traumatic acute mitral regurgitation secondary to blunt chest trauma.
An 18-yr-old male involved in a motor vehicle accident developed acute traumatic mitral regurgitation with fulminant pulmonary edema and death. He had prominent V waves on his pulmonary arterial trace, a history of chest trauma, frothy pink pulmonary edema, and elevated pulmonary artery, wedge, and CVP. His ECG was normal and physical exam was negative for a typical murmur. He was on a ventilator and had copious secretions, making the diagnosis of a murmur difficult. A high index of suspicion is necessary when any patient is admitted with a history of chest trauma so that the diagnosis of a ruptured mitral valve is not missed.
D000293:Adolescent; D006335:Heart Injuries / Q000209:etiology / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008943:Mitral Valve; D011654:Pulmonary Edema / Q000503:physiopathology; D012421:Rupture; D013898:Thoracic Injuries / Q000150:complications*