[Blunt cardiac trauma resulting in ventricular septal perforation and mitral regurgitation due to papillary muscle rupture--a case report].
A 13-year-old girl was hit by a car and referred to our hospital because of progressive chest discomfort, cough, ECG abnormalities and sustained hypotension. 2-D/Doppler echocardiography recorded on admission demonstrated ventricular septal perforation with L-R shunt and mitral regurgitation due to rupture of the posterior papillary muscle and its adjacent myocardium. Patch closure of the ventricular septal perforation and fixation of the papillary muscle were performed. In five years after surgery, the patient is doing well with no echocardiographic evidence of mitral regurgitation.
Take
A
A
Department of Thoracic and Cardiovascular Surgery, Jichi Medical School, Tochig, Japan.
Yamaguchi
T
T
Horimi
H
H
Kato
M
M
Hasegawa
T
T
Kimura
S
S
D000293:Adolescent; D015150:Echocardiography, Doppler; D005260:Female; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006346:Heart Septum / Q000293:injuries / Q000601:surgery; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D010210:Papillary Muscles / Q000293:injuries / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging