Cardiac Valve Injury With Major Chest Trauma

Bryant, Lester R.; Mobin-Uddin, Kazi; Dillon, Marcus L.; Hinshaw, Michael A.; Utley, Joe R.

doi:10.1001/archsurg.1973.01350200141029

Cited by 25 publications

(2 citation statements)

References 22 publications

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“…Verunfallte mit Papillarmuskeldysfunktionen sind sehr viel häufiger hochsymptomatisch als Patienten, die eine Läsion der Chordae tendineae aufweisen [11,21,59,92]. So gibt es im Rahmen einer Mitralklappendysfunktion Patienten mit akutem protrahiertem Schockgeschehen [62,67,96] und Lungenversagen [48], so dass eine mechanische Kreislaufunterstützung mittels extrakorporaler Zirkulation in Einzelfällen erforderlich wird [50,52].…”

Section: Klinischer Zustandunclassified

Mitralklappeninsuffizienz nach stumpfem Thoraxtrauma

Germing

Lindstaedt²,

Mügge

2008

Med Klin

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To get complete information on the initial cardiac status at the time of chest trauma, detailed echocardiographic evaluation is necessary independent of the severity or mechanism of trauma. If valve surgery is required, macroscopic valve description and microscopic diagnosis are important to clarify the etiology of valve dysfunction. This diagnostic evaluation allows to assess the causality between trauma and valve dysfunction in most of the cases.

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Section: Klinischer Zustandunclassified

Mitralklappeninsuffizienz nach stumpfem Thoraxtrauma

Germing

Lindstaedt²,

Mügge

2008

Med Klin

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“…Only a small number of patients were aware of neck pulsation,11),54) leg edema 21), 22 and/or abdominal distension,16) which were presumably more specific to the increased venous pressure. Syncope or lightheadedness was noted in 6 patients.8),11),13),22),27),39) On the contrary, many of the abnormal cardiovascular findings at the time of diagnosis were directly related to severe tricuspid regurgitation (Table III).…”

Section: Clinical Presentationmentioning

confidence: 99%

Tricuspid Regurgitation Due to Blunt Chest Trauma. Report of a Case and Review of the Literature.

et al. 1993

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SUMMARYA 25-year-old female developed high-grade atrioventricular block and markedly elevated central venous pressure after sustaining a crushing injury to the chest while driving a car. An echocardiographic examination with color Doppler revealed severe tricuspid regurgitation due to a torn papillary muscle. An extensive review of the literature showed the following: 1) correct diagnosis is often delayed because of coexisting multisystem involvement and the subtleness of abnormal physical signs, 2) identification of abnormally elevated right atrial pressure with a prominent "v" wave, and characteristic electrocardiogram appeared to be the key to early diagnosis, and 3) the final diagnosis may be confirmed by echocardiography with Doppler and/or cardiac catheterization. The role of echocardiographic examination with color Doppler technique deserves special emphasis because the final diagnosis can be easily reached during the acute phase at the bedside noninvasively. (Jpn Heart J 34: 361-375, 1993.)

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Injuries to the Heart by Blunt Trauma

Glinz

1981

Chest Trauma

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Cardiac Valve Injury With Major Chest Trauma

Cited by 25 publications

References 22 publications

Mitralklappeninsuffizienz nach stumpfem Thoraxtrauma

Mitralklappeninsuffizienz nach stumpfem Thoraxtrauma

Tricuspid Regurgitation Due to Blunt Chest Trauma. Report of a Case and Review of the Literature.

Injuries to the Heart by Blunt Trauma

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