Traumatic mitral valve injury after blunt chest trauma: a case report and review of the literature.
Details
Serval ID
serval:BIB_345D114FE9EA
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Traumatic mitral valve injury after blunt chest trauma: a case report and review of the literature.
Journal
Journal of Trauma
ISSN
1529-8809 (Electronic)
ISSN-L
0022-5282
Publication state
Published
Issued date
2010
Peer-reviewed
Oui
Volume
68
Number
1
Pages
243-246
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Review
Publication Status: ppublish
Publication Status: ppublish
Abstract
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.
Keywords
Adult, Athletic Injuries, Humans, Male, Mitral Valve/injuries, Mitral Valve/surgery, Mitral Valve Insufficiency/etiology, Mitral Valve Insufficiency/surgery, Multiple Trauma, Papillary Muscles/injuries, Rupture, Thoracic Injuries, Wounds, Nonpenetrating
Pubmed
Web of science
Create date
14/01/2010 11:46
Last modification date
20/08/2019 14:21