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  • Title: Papillary muscle injury after blunt chest trauma.
    Author: Wilke A, Kruse T, Hesse H, Bittinger A, Moosdorf R, Maisch B.
    Journal: J Trauma; 1997 Aug; 43(2):360-1. PubMed ID: 9291388.
    Abstract:
    In 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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