• J Trauma · Aug 1997

    Case Reports

    Papillary muscle injury after blunt chest trauma.

    • A Wilke, T Kruse, H Hesse, A Bittinger, R Moosdorf, and B Maisch.
    • Zentrum für Innere Medizin, Abteilung Kardiologie, Klinikum der Philipps-Universität, Marburg, Germany.
    • J Trauma. 1997 Aug 1; 43 (2): 360-1.

    AbstractIn many cases blunt chest trauma involves cardiac lesions, such as pericardial effusion, aneurysma dissecans, or valvular rupture. Early diagnosis with routine transthoracic and/or transesophageal echocardiography is essential to prevent a fatal outcome. In the case reported, a previously healthy 68-year-old woman fell 7 meters from the roof of a barn and sustained blunt injury to the chest as well as fractures of the face. Physical examination revealed a systolic murmur at the cardiac apex, and chest x-ray film showed a severe pulmonary edema. Transesophageal echocardiography demonstrated a ruptured anterolateral papillary muscle with fourth degree mitral insufficiency. An immediate mitral valve replacement was necessary.

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