| Traumatic mitral valve injury after blunt chest trauma: a case report and review of the literature. | |
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MedLine Citation:
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PMID: 20065781 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Mitral valve injury after blunt chest trauma is a rare occurrence. We recently admitted a patient with severe traumatic mitral regurgitation who was successfully treated with surgery. Review of the literature aimed at taking an inventory of cases of traumatic nonpenetrating mitral insufficiency that were operated on, since the earliest report in 1964. Eighty-two cases were found and analyzed allowing for a better understanding of the epidemiology, etiology, natural history, pathology, and treatment of this rare condition. The most common lesions reach the papillary muscles (PM), followed by the chordae and then the mitral valve leaflets. Among the 82 cases reported that have been treated with surgery, 57% required a valve replacement. More than half of the patients had a PM injury with a complete or partial rupture. When the rupture is complete, and especially when it involves the anterior PM, the clinical picture is most always acute with clinically important hemodynamic repercussions, often necessitating emergency surgery, most of the time with mitral valve replacement. One must always suspect traumatic mitral injury after blunt chest trauma. The most common mitral lesions affect the PM. The clinical course can be indolent or devastating, and most often requires urgent or delayed surgical treatment, either with mitral valve repair or replacement. |
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Authors:
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Mathieu Pasquier; Christophe Sierro; Bertrand Yersin; Dominique Delay; Pierre-Nicolas Carron |
Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: The Journal of trauma Volume: 68 ISSN: 1529-8809 ISO Abbreviation: J Trauma Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-01-12 Completed Date: 2010-01-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376373 Medline TA: J Trauma Country: United States |
Other Details:
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Languages: eng Pagination: 243-6 Citation Subset: AIM; IM |
Affiliation:
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Emergency Services, University Hospital Center, Lausanne, Switzerland. Mathieu.Pasquier@chuv.ch |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Athletic Injuries* Humans Male Mitral Valve / injuries*, surgery Mitral Valve Insufficiency / etiology*, surgery* Multiple Trauma Papillary Muscles / injuries Rupture Thoracic Injuries* Wounds, Nonpenetrating* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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