Traumatic Mitral Valve and Pericardial Injury

Cardiac injury after blunt trauma is common but underreported. Common cardiac trauma after the blunt chest injury (BCI) is cardiac contusion; it is very rare to have cardiac valve injury. The mitral valve injury during chest trauma occurs when extreme pressure is applied at early systole during the...

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Main Authors: Nissar Shaikh, Firdous Ummunissa, Mohamed Abdel Sattar
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2013/385670
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author Nissar Shaikh
Firdous Ummunissa
Mohamed Abdel Sattar
author_facet Nissar Shaikh
Firdous Ummunissa
Mohamed Abdel Sattar
author_sort Nissar Shaikh
collection DOAJ
description Cardiac injury after blunt trauma is common but underreported. Common cardiac trauma after the blunt chest injury (BCI) is cardiac contusion; it is very rare to have cardiac valve injury. The mitral valve injury during chest trauma occurs when extreme pressure is applied at early systole during the isovolumic contraction between the closure of the mitral valve and the opening of the aortic valve. Traumatic mitral valve injury can involve valve leaflet, chordae tendineae, or papillary muscles. For the diagnosis of mitral valve injury, a high index of suspicion is required, as in polytrauma patients, other obvious severe injuries will divert the attention of the treating physician. Clinical picture of patients with mitral valve injury may vary from none to cardiogenic shock. The echocardiogram is the main diagnostic modality of mitral valve injuries. Patient’s clinical condition will dictate the timing and type of surgery or medical therapy. We report a case of mitral valve and pericardial injury in a polytrauma patient, successfully treated in our intensive care unit.
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spelling doaj-art-3c2ece7e6f6c41979dbe7b751b2fd8d52025-08-20T03:55:37ZengWileyCase Reports in Critical Care2090-64202090-64392013-01-01201310.1155/2013/385670385670Traumatic Mitral Valve and Pericardial InjuryNissar Shaikh0Firdous Ummunissa1Mohamed Abdel Sattar2Surgical Intensive Care Unit, Department of Anesthesia/ICU, Hamad Medical Corporation, P.O. Box 3050, Doha, QatarDepartment of Medical Education, Hamad Medical Corporation, P.O. Box 3050, Doha, QatarDepartment of Cardiology and Cardiothoracic Surgery, Hamad Medical Corporation, P.O. Box 3050, Doha, QatarCardiac injury after blunt trauma is common but underreported. Common cardiac trauma after the blunt chest injury (BCI) is cardiac contusion; it is very rare to have cardiac valve injury. The mitral valve injury during chest trauma occurs when extreme pressure is applied at early systole during the isovolumic contraction between the closure of the mitral valve and the opening of the aortic valve. Traumatic mitral valve injury can involve valve leaflet, chordae tendineae, or papillary muscles. For the diagnosis of mitral valve injury, a high index of suspicion is required, as in polytrauma patients, other obvious severe injuries will divert the attention of the treating physician. Clinical picture of patients with mitral valve injury may vary from none to cardiogenic shock. The echocardiogram is the main diagnostic modality of mitral valve injuries. Patient’s clinical condition will dictate the timing and type of surgery or medical therapy. We report a case of mitral valve and pericardial injury in a polytrauma patient, successfully treated in our intensive care unit.http://dx.doi.org/10.1155/2013/385670
spellingShingle Nissar Shaikh
Firdous Ummunissa
Mohamed Abdel Sattar
Traumatic Mitral Valve and Pericardial Injury
Case Reports in Critical Care
title Traumatic Mitral Valve and Pericardial Injury
title_full Traumatic Mitral Valve and Pericardial Injury
title_fullStr Traumatic Mitral Valve and Pericardial Injury
title_full_unstemmed Traumatic Mitral Valve and Pericardial Injury
title_short Traumatic Mitral Valve and Pericardial Injury
title_sort traumatic mitral valve and pericardial injury
url http://dx.doi.org/10.1155/2013/385670
work_keys_str_mv AT nissarshaikh traumaticmitralvalveandpericardialinjury
AT firdousummunissa traumaticmitralvalveandpericardialinjury
AT mohamedabdelsattar traumaticmitralvalveandpericardialinjury