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Ann Thorac Surg 2009;87:1289-1290. doi:10.1016/j.athoracsur.2008.08.041
© 2009 The Society of Thoracic Surgeons

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A. David Slater
Sujata Subramanian
Michael Bouvette
Sebastian Pagni
Robert D. Dowling
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Case Reports

Repair of Mitral Valve and Left Atrioventricular Disruption Caused by Blunt Chest Trauma

A. David Slater, MDa,*, Sujata Subramanian, MDa, Jiapeng Huang, MD, PhDb, Michael Bouvette, MDb, Sebastian Pagni, MDa, Robert D. Dowling, MDa

a Department of Surgery, University of Louisville, Louisville, Kentucky
b Department of Anesthesiology & Perioperative Medicine, University of Louisville, Louisville, Kentucky

Accepted for publication August 18, 2008.

* Address correspondence to Dr Slater, Department of Surgery, University of Louisville, 201 Abraham Flexner Way, Suite 1200, Louisville, KY 40202 (Email: dslater{at}ucsamd.com).

We describe a case of acute cardiac failure in a patient involved in a motor vehicle accident. A diagnosis of acute mitral regurgitation and left atrioventricular disruption was made with transesophageal echocardiography. Successful repair was performed using the mitral valve leaflets to patch the disruption followed by valve replacement.







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