A Child with Unilateral Pulmonary Edema due to Mitral Valve Rupture Following Blunt Trauma

被引：1

作者：

Mukherjee, Satarupa ^{[1
]}

Ravikumar, Krupanandan ^{[2
]}

Kapalavai, Sudeep K. ^{[3
]}

Ramachandran, Bala ^{[3
]}

机构：

[1] Great Ormond St Hosp Sick Children, Dept Pediat Intens Care, London, England

[2] Kanchi Kamakoti CHILDS Trust Hosp, Dept Pediat Intens Care, Chennai, Tamil Nadu, India

[3] Kanchi Kamakoti CHILDS Trust Hosp, Dept Paediat Intens Care, Chennai, Tamil Nadu, India

来源：

INDIAN JOURNAL OF CRITICAL CARE MEDICINE | 2021年 / 25卷 / 06期

关键词：

Blunt trauma; Mitral valve; Unilateral pulmonary edema; REGURGITATION;

D O I：

10.5005/jp-journals-10071-23859

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A 7-year-old boy was admitted with a history of cough and tachypnea for 1 day. There was a history of a fall from a motorcycle with some abrasions over the left arm. The child was found to have tachypnea and tachycardia and was started on noninvasive ventilation. Auscultation revealed a pansystolic murmur over the precordium. Chest X-ray revealed unilateral pulmonary edema on the right side. Echocardiography showed severe mitral regurgitation (MR) with the tear of the anterior leaflet. The child improved with diuretics and supportive care. After 3 months, he underwent surgical repair of the mitral valve. Traumatic mitrel valve tear is quite rare in children. Unilateral pulmonary edema is a feature of MR with eccentric jet and is frequently misinterpreted.

引用

页码：728 / 730

页数：3

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