Key result
ICU treatment successfully manages rare traumatic mitral valve and pericardial injury in a polytrauma patient.
Why the study?
Cardiac valve injury after blunt chest trauma is very rare and often underreported, requiring high suspicion for diagnosis in polytrauma patients.
Case Report (n=1)
Highlights the rare occurrence of traumatic mitral valve and pericardial injury following blunt chest trauma and the need for a high index of suspicion and echocardiography for diagnosis.
May warrant echocardiography in blunt chest trauma polytrauma; leaves open optimal management of rare traumatic mitral 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 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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Shaikh et al. (2013) conducted a case report in Traumatic mitral valve and pericardial injury (n=1). Intensive care unit treatment was evaluated. A polytrauma patient with rare traumatic mitral valve and pericardial injury was successfully treated in the intensive care unit.
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