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Case Reports
. 2006;33(3):392-5.

Penetrating trauma to the mitral valve and ventricular septum

Serkan Topaloglu  1 , Dursun Aras, Kerim Cagli, Kumral Ergun, Bulent Deveci, Ahmet Duran Demir, Sule Korkmaz, Irfan Sabah
Affiliations
Case Reports

Penetrating trauma to the mitral valve and ventricular septum

Serkan Topaloglu et al. Tex Heart Inst J. 2006.

Abstract

Penetrating cardiac trauma is typically life-threatening and often requires urgent surgical intervention. Penetrating injury can cause damage in more than 1 cardiac structure that may be difficult to identify at the initial urgent operation. We describe the case of a young man in whom a perimembranous ventricular septal defect and perforation of the anterior leaflet of the mitral valve were caused by a screwdriver wound.

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Figures

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Fig. 1 Two-dimensional echocardio graphy (high parasternal long-axis view) shows perforations in the interventricular septum (upper arrow) and anterior mitral leaflet (lower arrow). LA = left atrium; LV = left ventricle; M. Perf = mitral perforation; PA = pulmonary artery; VSD = ventricular septal defect
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Fig. 2. Two-dimensional transthoracic color-flow Doppler echocardiography (parasternal long-axis view) in systole shows a posteriorly directed jet of mitral regurgitation (lower arrow) and an anteriorly directed jet spurting through the ventricular septal rupture (upper arrow). AO = aorta; LA = left atrium; LV = left ventricle; M. Perf = mi-tral perforation; RV = right ventricle; VSD = ventricular septal defect
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Fig. 3 Intraoperative view of the perforation (arrow) in the anterior leaflet of the mitral valve.
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Fig. 4 Intraoperative view of the ventricular septal defect (arrow) located at the membranous septum.
See this image and copyright information in PMC

References

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