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

Autor: Michael John Paisley, Zachary Deboard, Donald Thomas
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: The Thoracic & Cardiovascular Surgeon Reports, Vol 07, Iss 01, Pp e1-e3 (2018)
Druh dokumentu: article
ISSN: 2194-7635
2194-7643
DOI: 10.1055/s-0037-1621747
Popis: 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.
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