CC-BY-NC-ND 4.0 · THORAC CARDIOV SURG Reports 2018; 07(01): e1-e3
DOI: 10.1055/s-0037-1621747
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

High-Risk Repair of Traumatic Mitral Valve Rupture in the Setting of Polytrauma

Michael John Paisley
Department of Surgery, Santa Barbara Cottage Hospital, Santa Barbara, California, United States
,
Zachary Deboard
Department of Cardiothoracic Surgery, University of Utah Hospital, Salt Lake City, Utah, United States
,
Donald Thomas
Division of Cardiothoracic Surgery, Department of Surgery, Oregon Health and Science University, Portland, Oregon, United States
› Author Affiliations
Further Information

Publication History

09 November 2017

18 December 2017

Publication Date:
20 February 2018 (online)

Abstract

Background The rare complication of mitral valve rupture from blunt trauma is certainly not at the top of the differential of shock.

Case Description We report the case of a 56-year-old woman who sustained numerous injuries after a 30-m fall with cardiogenic shock secondary to mitral valve rupture causing severe mitral valve regurgitation. Management included successful primary leaflet repair, annuloplasty, and single vessel coronary artery bypass.

Conclusion Valvular repair in the setting of polytrauma is a complex decision that requires careful balance of risks and benefits relative to patient stability.