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Ann Thorac Surg 2006;82:737-739
© 2006 The Society of Thoracic Surgeons

Case report

Late Mitral Valve Regurgitation After Bullet Wound to the Heart

Stéphane Aubert, MD, MS*, Olivio Souza Neto, MD, Amit Pawale, MD, MRCS, Gilles D. Dreyfus, MD, PhD

Department of Cardiothoracic Surgery, Royal Brompton and Harefield NHS Trust, Harefield Hospital, Harefield, Middlesex, United Kingdom

Accepted for publication November 22, 2005.

* Address correspondence to Dr Aubert, Department of Cardiothoracic Surgery, Royal Brompton and Harefield NHS Trust, Harefield Hospital, Hill End Rd, Harefield, Middlesex, UB9 6JH United Kingdom (Email: stephaneaubert{at}yahoo.fr).

We report a very rare case of mitral valve injury due to gunshot, presenting 1 year after the incident. The bullet had traversed through the chest and had gone through the anterior mitral leaflet to reside in the pericardium. The first clinical presentation was unremarkable and the patient became symptomatic 1 year later. We operated on him for severe mitral valve regurgitation, repairing the hole in the anterior mitral leaflet. The 1-year follow-up showed a good symptomatic and echocardiographic success.




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