| Four Cases of Valvular Injury
in Nonpenetrating Cardiac Trauma |
(Department of Thoracic and Cardiovascular Surgery,
Ogaki Municipal Hospital, Ogaki, Japan)
| Yukifusa Yokoyama |
Shuji Tamaki |
Noriyuki Kato |
| June Yokote |
Masato Mutsuga |
Norihisa Ohata |
| Toshihiko Suzuki |
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We report 4 cases of valvular injury
following nonpenetrating cardiac trauma in 3 men and 1 woman
ranging in age from 24 to 72 years. In all cases the cause of
trauma was blunt chest trauma. One patient was operated in 4
h, but the other 3 patients were operated on more than 6 months
after the accidents. Lacerated aortic cusp was observed in 2
patients, ruptured anterior papillary muscle of mitral valve,
and ruptured chordae tendinae of the tricuspid vale were observed
in 1 patient each respectively. Three patients underwent valve
replacementi2 aortic and 1 mitral valves), and another patient
underwent chordoplasty in the tricuspid valve. Their post-operative
courses were uneventful. Careful observation, such as echocardiography,
were required following the blunt chest trauma.
@Jpn. J. Cardiovasc. Surg. 33: 45 -49 (2004) |
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