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Eur J Cardiothorac Surg 2001;20:200-202
© 2001 Elsevier Science NL

Case report

Papillary muscle rupture and pericardial injuries after blunt chest trauma

Department of Cardiac Surgery ‘ A. De Gasperis’ Ospedale Niguarda Ca’ Granda, Piazza Ospedale Maggiore, 320162 Milan, Italy

Received 3 December 2000; received in revised form 27 March 2001; accepted 3 April 2001.

Corresponding author. Tel.: +39-02-64442565; fax: +39-02-64442566
e-mail: giuseppe.bruschi{at}tiscalinet.it
e-mail: giuseppe.bruschi{at}tiscalinet.it

Non-penetrating cardiac trauma resulting in mitral valve rupture is uncommon, requiring a high degree of suspicion for diagnosis. Sudden and severe mitral regurgitation, unless surgically corrected rapidly lead to congestive heart failure and death. We report a patient with traumatic rupture of the antero–lateral papillary muscle of the mitral valve and pericardial injury, after a lateral blunt chest trauma, who successfully underwent emergency mitral valve replacement.

Key Words: Chest trauma • Mitral valve regurgitation • Pericardial tear

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