Latent Avulsion of the Posterior Mitral Leaflet Base from the Mitral Annulus Following a Motor Vehicle Accident: A Case Report
Injuries to the heart and great vessels should always be considered after blunt chest trauma. Valvular damage rarely occurs after blunt trauma, but symptoms may be delayed. A 58-year-old woman was referred to our hospital with exertional dyspnea (functional class III) and palpitations for elective...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2022-04-01
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| Series: | Journal of Tehran University Heart Center |
| Subjects: | |
| Online Access: | https://jthc.tums.ac.ir/index.php/jthc/article/view/1492 |
| _version_ | 1818189616131342336 |
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| author | Reza Mohseni Badalabadi Parto Siavosh Hakimeh Sadeghian |
| author_facet | Reza Mohseni Badalabadi Parto Siavosh Hakimeh Sadeghian |
| author_sort | Reza Mohseni Badalabadi |
| collection | DOAJ |
| description |
Injuries to the heart and great vessels should always be considered after blunt chest trauma. Valvular damage rarely occurs after blunt trauma, but symptoms may be delayed. A 58-year-old woman was referred to our hospital with exertional dyspnea (functional class III) and palpitations for elective transesophageal echocardiography. Her symptoms had exacerbated in the preceding 2 or 3 months. Physical examination showed holosystolic murmurs (IV/VI) at the lower sternal border with extension to the apex. Transesophageal echocardiography revealed avulsion of the base of the posterior mitral valve leaflet (P3) from the annulus. In the past medical history, there was a history of a motor vehicle accident 9 months earlier. The patient was recommended for mitral valve surgery. Mitral valve replacement was performed, and the diagnosis was confirmed by surgery. The patient was discharged without any complications.
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| first_indexed | 2024-12-11T23:45:39Z |
| format | Article |
| id | doaj.art-4f1ac6570c9e42bd8bf7970c55c50038 |
| institution | Directory Open Access Journal |
| issn | 1735-8620 2008-2371 |
| language | English |
| last_indexed | 2024-12-11T23:45:39Z |
| publishDate | 2022-04-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Tehran University Heart Center |
| spelling | doaj.art-4f1ac6570c9e42bd8bf7970c55c500382022-12-22T00:45:37ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712022-04-0117210.18502/jthc.v17i2.9845Latent Avulsion of the Posterior Mitral Leaflet Base from the Mitral Annulus Following a Motor Vehicle Accident: A Case ReportReza Mohseni Badalabadi0Parto Siavosh1Hakimeh Sadeghian2Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran.Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Injuries to the heart and great vessels should always be considered after blunt chest trauma. Valvular damage rarely occurs after blunt trauma, but symptoms may be delayed. A 58-year-old woman was referred to our hospital with exertional dyspnea (functional class III) and palpitations for elective transesophageal echocardiography. Her symptoms had exacerbated in the preceding 2 or 3 months. Physical examination showed holosystolic murmurs (IV/VI) at the lower sternal border with extension to the apex. Transesophageal echocardiography revealed avulsion of the base of the posterior mitral valve leaflet (P3) from the annulus. In the past medical history, there was a history of a motor vehicle accident 9 months earlier. The patient was recommended for mitral valve surgery. Mitral valve replacement was performed, and the diagnosis was confirmed by surgery. The patient was discharged without any complications. https://jthc.tums.ac.ir/index.php/jthc/article/view/1492Mitral valve insufficiencyThoracic injuriesMyocardial contusions |
| spellingShingle | Reza Mohseni Badalabadi Parto Siavosh Hakimeh Sadeghian Latent Avulsion of the Posterior Mitral Leaflet Base from the Mitral Annulus Following a Motor Vehicle Accident: A Case Report Journal of Tehran University Heart Center Mitral valve insufficiency Thoracic injuries Myocardial contusions |
| title | Latent Avulsion of the Posterior Mitral Leaflet Base from the Mitral Annulus Following a Motor Vehicle Accident: A Case Report |
| title_full | Latent Avulsion of the Posterior Mitral Leaflet Base from the Mitral Annulus Following a Motor Vehicle Accident: A Case Report |
| title_fullStr | Latent Avulsion of the Posterior Mitral Leaflet Base from the Mitral Annulus Following a Motor Vehicle Accident: A Case Report |
| title_full_unstemmed | Latent Avulsion of the Posterior Mitral Leaflet Base from the Mitral Annulus Following a Motor Vehicle Accident: A Case Report |
| title_short | Latent Avulsion of the Posterior Mitral Leaflet Base from the Mitral Annulus Following a Motor Vehicle Accident: A Case Report |
| title_sort | latent avulsion of the posterior mitral leaflet base from the mitral annulus following a motor vehicle accident a case report |
| topic | Mitral valve insufficiency Thoracic injuries Myocardial contusions |
| url | https://jthc.tums.ac.ir/index.php/jthc/article/view/1492 |
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