Article Sidebar

PDF
Date Published: 27/06/2023
Abstract Views: 160
Views PDF: 113
DOI: https://doi.org/10.51298/vmj.v527i1B.5815
Issue
Vol. 527 No. 1B (2023)
Section
Các bài báo
How to Cite
Vũ, V. T. ., & Đỗ, V. C. (2023). PAPILLARY MUSCLE RUPTURES DUE TO MOTOBIKE ACCIDENT: A CASE REPORT. Vietnam Medical Journal, 527(1B). https://doi.org/10.51298/vmj.v527i1B.5815

PAPILLARY MUSCLE RUPTURES DUE TO MOTOBIKE ACCIDENT: A CASE REPORT

Văn Tiệp Vũ1, Văn Chiến Đỗ1,
1 108 Military Central Hospital

Main Article Content

Abstract

An 18-year-old teenager admitted to the department of emergency in a critical condition due to a motorbike accident. On admission, he was in coma, intubated, his blood pressure was at 50/30mmHg, oxygen saturation was 80%, and multiple traumas. After auscultation, we revealed clear systolic murmurs and point-of care ultrasound detected a rupture of the whole mitral valve apparatus which led to cardiogenic shock. After a quick heart team discussion, we decided to put on veno-arterial extracorporeal membrane oxygenation (VA ECMO) and followed by mitral valve replacement. Operative findings showed that the mitral valve papillary muscles are totally damaged. Post operative progress was critical due to lung hemorrhage. Eventually, the patient died at the third day of ICU stay.

Article Details

Keywords

papillary muscle, rupture, surgery, ECMO

References

1. Fujii, T., et al. (2016), "Mitral valve repair for traumatic mitral regurgitation", Asian Cardiovasc Thorac Ann. 24(5), pp. 458-60.
2. Jahanshir, A., et al. (2020), "Value of point-of-care ultrasonography compared with computed tomography scan in detecting potential life-threatening conditions in blunt chest trauma patients", Ultrasound J. 12(1), pp. 020-00183.
3. Paisley, M. J., Deboard, Z., and Thomas, D. High-Risk Repair of Traumatic Mitral Valve Rupture in the Setting of Polytrauma, Thorac Cardiovasc Surg Rep. 2018 Jan;7(1):e1-e3. doi: 10.1055/s-0037-1621747. Epub 2018 Feb 20.
4. Pasquier, M., et al. (2010), "Traumatic mitral valve injury after blunt chest trauma: a case report and review of the literature", J Trauma. 68(1), pp. 243-6.
5. Saric, P., et al. Acute severe mitral regurgitation after blunt chest trauma, Echocardiography. 2018 Feb;35(2):272-274. doi: 10.1111/echo.13775. Epub 2017 Dec 11.
6. Shaikh, N., Ummunissa, F., and Abdel Sattar, M. (2013), "Traumatic mitral valve and pericardial injury", Case Rep Crit Care. 385670(10), p. 10.