Post-traumatic blunt mitral insufficiency: Surgical experience and review

Abstract

hree cases of acute mitral insufficiency after blunt chest trauma are presented. All three patients underwent urgent surgery for mitral valve replacement (MVR). The first patient presented complete detachment of the anterior papillary muscle, while the other two showed rupture of the posterior papillary muscle. The second patient also suffered rupture of the anterior papillary muscle of the tricuspid valve, and subsequently underwent double mitral-tricuspid valve replacement. All patients survived the operation and were discharged in good condition. An extensive review of the literature on surgically managed patients is included. In this group of high-risk patients, MVR represents a rapid and safe operation, and represents a good surgical option.