Early stabilization of traumatic aortic transection and mitral valve regurgitation with extracorporeal membrane oxygenation.
We report a case of life-threatening aortic transection with concomitant mitral papillary muscle rupture and severe lung contusion caused by a failed parachute jump. This blunt thoracic injury was treated by early stabilization with extracorporeal membrane oxygenation followed by successful delayed graft repair of the descending aorta and mitral valve replacement with a mechanical prosthesis.
Lambrechts
David L
DL
Onze-Lieve-Vrouw Clinic, Department of Cardiovascular and Thoracic Surgery, Moorselbaan 164, 9300 Aalst Belgium.
Wellens
Francis
F
Vercoutere
Rik A
RA
De Geest
Raf
R
D000328:Adult; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D001359:Aviation; D003654:Deceleration / Q000009:adverse effects; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*