High-Risk Repair of Traumatic Mitral Valve Rupture in the Setting of Polytrauma
09 November 2017
18 December 2017
20 February 2018 (online)
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.
- 1 Pasquier M, Sierro C, Yersin B, Delay D, Carron PN. Traumatic mitral valve injury after blunt chest trauma: a case report and review of the literature. J Trauma 2010; 68 (01) 243-246
- 2 Baker SP, O'Neill B, Haddon Jr W, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974; 14 (03) 187-196
- 3 Turan AA, Karayel FA, Akyildiz E. , et al. Cardiac injuries caused by blunt trauma: an autopsy based assessment of the injury pattern. J Forensic Sci 2010; 55 (01) 82-84
- 4 Kumagai H, Hamanaka Y, Hirai S, Mitsui N, Kobayashi T. Mitral valve plasty for mitral regurgitation after blunt chest trauma. Ann Thorac Cardiovasc Surg 2001; 7 (03) 175-179
- 5 Shaikh N, Ummunissa F, Adbel Sattar M. Traumatic Mitral Valve and Pericardial Injury. Case Reports in Critical Care. (Sept 2013). Online: www.hindawi.com/journals/cricc/ . Accessed December 31, 2017
- 6 Santaniello JM, Miller PR, Croce MA. , et al. Blunt aortic injury with concomitant intra-abdominal solid organ injury: treatment priorities revisited. J Trauma 2002; 53 (03) 442-445 , discussion 445
- 7 Karlekar A, Dutta D, Dev Arora K, Mishra YK. Spinal-epidural hematoma presenting as paraplegia following mitral valve surgery: a case report. J Cardiothorac Vasc Anesth 2015; 29 (01) 139-141