title: Successful Operative Repair of Delayed Left Ventricle Rupture From Blunt Trauma.
abstract: A 21-year-old female was found to have an enlarging pericardial effusion 10 days after a 40-foot fall. Initial cardiac evaluation was negative. Ten days after presentation she developed hemodynamic compromise and chest computed tomography was concerning for cardiac rupture. The patient was taken to the operating room where the ruptured posterior ventricle was repaired, perforation in the P1 leaflet was identified and the mitral valve was replaced. The patient survived. To our knowledge, this is the first report of survival after delayed presentation of atrioventricular rupture at the level of the mitral valve.
authors.affiliation: Department of Cardiothoracic Surgery, Stanford University Medical Center, Falk Cardiovascular Research Building, Stanford, California.
authors.forename: Christina L
authors.initials: CL
authors.lastname: Greene
authors.affiliation: Department of Cardiothoracic Surgery, Stanford University Medical Center, Falk Cardiovascular Research Building, Stanford, California. Electronic address: jackboyd@stanford.edu.
authors.forename: Jack H
authors.initials: JH
authors.lastname: Boyd
mesh_terms: D000058:Accidental Falls; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006341:Heart Rupture / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D006352:Heart Ventricles / Q000293:injuries / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D020127:Recovery of Function; D018570:Risk Assessment; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000601:surgery*; D055815:Young Adult