Papillary muscle injury after blunt chest trauma.
作者： A. Wilke , T. Kruse , H. Hesse , A. Bittinger , R. Moosdorf
DOI: 10.1097/00005373-199708000-00027
关键词:
摘要: In many cases blunt chest trauma involves cardiac lesions, such as pericardial effusion, aneurysma dissecans, or valvular rupture. Early diagnosis with routine transthoracic and/or transesophageal echocardiography is essential to prevent a fatal outcome. the case reported, previously healthy 68-year-old woman fell 7 meters from roof of barn and sustained injury well fractures face. Physical examination revealed systolic murmur at apex, x-ray film showed severe pulmonary edema. Transesophageal demonstrated ruptured anterolateral papillary muscle fourth degree mitral insufficiency. An immediate valve replacement was necessary.
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