title: Mitral Perivalvular Leak after Blunt Chest Trauma: A Rare Cause of Severe Subacute Mitral Regurgitation.
abstract: Blunt chest trauma is a very rare cause of valve disorder. Moreover, mitral valve involvement is less frequent than is aortic or tricuspid valve involvement, and the clinical course is usually acute. In the present report, we describe the case of a 49-year-old man with a perivalvular mitral injury that became clinically manifest one year after a violent, nonpenetrating chest injury. This case is atypical in regard to the valve involved (isolated mitral damage), the injury type (perivalvular leak in the absence of subvalvular abnormalities), and the clinical course (interval of one year between trauma and symptoms).
authors.forename: Nicola
authors.initials: N
authors.lastname: Marchese
authors.forename: Antonio
authors.initials: A
authors.lastname: Facciorusso
authors.forename: Carlo
authors.initials: C
authors.lastname: Vigna
mesh_terms: D000058:Accidental Falls; D017548:Echocardiography, Transesophageal; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D058386:Mitral Valve Annuloplasty; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery
keywords: Accidental falls; blunt injury/ultrasonography; chest injury; contusions/diagnosis/therapy; echocardiography, transesophageal; fistula/complications/ultrasonography; mitral valve regurgitation/ultrasonography; mitral valve/injuries/surgery; wounds, nonpenetrating/complications