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

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...

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Bibliographic Details
Main Authors: Michael John Paisley, Zachary Deboard, Donald Thomas
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2018-01-01
Series:The Thoracic & Cardiovascular Surgeon Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1621747
Description
Summary: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.
ISSN:2194-7635
2194-7643