钝性胸部创伤后的二尖瓣损伤。

Mitral valve injury after blunt chest trauma.

作者信息

McDonald M L, Orszulak T A, Bannon M P, Zietlow S P

机构信息

Section of Cardiovascular Surgery, Mayo Clinic, Mayo Foundation, Rochester, Minnesota 55905, USA.

出版信息

Ann Thorac Surg. 1996 Mar;61(3):1024-9. doi: 10.1016/0003-4975(95)01034-3.

DOI:10.1016/0003-4975(95)01034-3

PMID:8619681

Abstract

Isolated mitral valve injury after blunt chest trauma is a very rare event. This disruption, causing sudden and severe mitral regurgitation, will rapidly lead to congestive heart failure and death unless operatively corrected. A high index of suspicion coupled with appropriate diagnostic tests will provide the diagnosis and allow operative correction. We report a patient who survived this injury and review all previous reports of blunt traumatic disruption of the mitral valve.

摘要

钝性胸部创伤后孤立性二尖瓣损伤是一种非常罕见的情况。这种瓣膜破坏会导致突然且严重的二尖瓣反流，除非进行手术矫正，否则将迅速导致充血性心力衰竭和死亡。高度的怀疑指数加上适当的诊断测试将有助于做出诊断并进行手术矫正。我们报告了一名在此次损伤中存活下来的患者，并回顾了之前所有关于钝性创伤性二尖瓣破坏的报告。