The double jeopardy of blunt chest trauma: a case report and review

Echocardiography
Subha L VarahanArman T Askari

Abstract

Cardiac injury, specifically valvular rupture, must be considered after blunt chest trauma even in previously healthy patients. Isolated mitral regurgitation (MR) and tricuspid regurgitation (TR) due to blunt chest trauma are rare phenomena. More unique is simultaneous complete papillary muscle rupture of the mitral valve (MV) and tricuspid valve (TV) with only four patients being previously reported in the literature. This case describes a patient with complete transection of the posteromedial papillary muscle of the MV with severe MR and a concomitant flail TV with severe TR following a motor vehicular accident. The importance of transthoracic and transesophageal echocardiography in the early evaluation of patients following blunt chest trauma is also highlighted by this case.

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Citations

May 6, 2008·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Britt Frisk Pados, Ann Philip
Sep 23, 2008·The Annals of Thoracic Surgery·Jae-Sung Choi, Eung-Joong Kim
Nov 23, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Alfredo E Lamela DomenechAngel López-Candales
Jun 28, 2019·Journal of Cardiovascular Medicine·Antonietta ForteleoniGuido Parodi
Jul 7, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Eric LongfellowRohesh J Fernando

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