Mitral valve repair for traumatic mitral regurgitation.
Mitral valve injury after blunt chest trauma is a rare clinical condition. We describe a case of mitral valve repair for severe mitral regurgitation due to blunt chest trauma 5 years previously. A 22-year-old man was referred to our hospital for surgical correction of severe mitral regurgitation. Echocardiography demonstrated a partial tear of the anterolateral papillary muscle which lacerated to the apex. The entire anterolateral part of the mitral valve including the anterior commissure and posterior leaflets had prolapsed. Reimplantation of the papillary muscle to the posterior left ventricular wall and ring annuloplasty were successfully performed without residual regurgitation.
Department of Thoracic and Cardiovascular Surgery, Ise Red Cross Hospital, Funae Ise City, Japan.
Taro
T
Fujii
Heart Valve Center, Midori Hospital, Kobe, Japan.
Shuhei
S
Kogure
Heart Valve Center, Midori Hospital, Kobe, Japan.
Takashi
T
Muro
Heart Valve Center, Midori Hospital, Kobe, Japan yukiok@midori-hp.or.jp.
Yukikatsu
Y
Okada
D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D058386:Mitral Valve Annuloplasty / Q000295:instrumentation; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D010210:Papillary Muscles / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D020127:Recovery of Function; D012092:Replantation; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D055815:Young Adult
Blunt chest trauma; Mitral valve repair; Papillary muscle rupture; Traumatic mitral insufficiency