Papillary muscle rupture and pericardial injuries after blunt chest trauma.
Non-penetrating cardiac trauma resulting in mitral valve rupture is uncommon, requiring a high degree of suspicion for diagnosis. Sudden and severe mitral regurgitation, unless surgically corrected rapidly lead to congestive heart failure and death. We report a patient with traumatic rupture of the antero-lateral papillary muscle of the mitral valve and pericardial injury, after a lateral blunt chest trauma, who successfully underwent emergency mitral valve replacement.
Bruschi
G
G
Department of Cardiac Surgery A. De Gasperis Ospedale Niguarda Ca' Granda, Piazza Ospedale Maggiore, 320162 Milan, Italy. guiseppe.bruschi@tiscalinet.it
Agati
S
S
Iorio
F
F
Vitali
E
E
D000328:Adult; D006335:Heart Injuries / Q000209:etiology* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008943:Mitral Valve; D010210:Papillary Muscles / Q000293:injuries*; D010496:Pericardium / Q000293:injuries*; D012421:Rupture; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*