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Ann Thorac Surg 2000;69:616-618
© 2000 The Society of Thoracic Surgeons

Case Reports

Mitral and tricuspid valve rupture after moderate blunt chest trauma

Peter L. Bailey, MDa, Raul Peragallo, MDa, Shreekanth V. Karwande, MDb, Paul Lapunzina, MDb

a Department of Anesthesiology, University of Utah, Salt Lake City, Utah, USA
b Division of Cardiothoracic Surgery, University of Utah, Salt Lake City, Utah, USA

Address reprint requests to Dr Bailey, Department of Anesthesiology, University of Rochester Medical Center, 601 Elmwood Ave, Box 604, Rochester, NY 14642
e-mail: peter-bailey{at}urmc.rochester.edu

We present a patient with rupture of both atrioventricular valves in a previously healthy adult man who sustained a 5-foot fall. The mechanism of injury was such that it would not necessarily raise an adequate index of suspicion for valvular damage had valvular rupture not occurred. The usefulness of perioperative echocardiography is highlighted.




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