title: Contusio cordis, not an innocent diagnosis.
abstract: This report demonstrates two cases of traumatic valvular lesions of the heart. The first is a patient with severe mitral regurgitation after a blunt chest trauma and the second a severe aortic regurgitation due to rupture of a coronary cusp after a motor cycle accident. Both patients underwent successful surgery and recovered. Valvular lesions are a rare complication after blunt chest trauma. Physicians should always consider a traumatic valvular lesion as a possible cause of pulmonary oedema or haemodynamic instability after a blunt chest trauma.
authors.affiliation: Department of Cardiology, Medisch Centrum Alkmaar, Alkmaar, The Netherlands.
authors.forename: Roel
authors.initials: R
authors.lastname: Driessen
authors.forename: Inge
authors.initials: I
authors.lastname: Doodeman
authors.forename: Kjell
authors.initials: K
authors.lastname: Bogaard
authors.forename: Stan
authors.initials: S
authors.lastname: Reichert
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000368:Aged; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012421:Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*