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Anesth Analg 2005;100:1256-1258
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000149543.15866.80

CARDIOVASCULAR ANESTHESIA

A Rupture of Both Atrioventricular Valves After Blunt Chest Trauma: The Usefulness of Transesophageal Echocardiography for a Life-Saving Diagnosis

Milen P. Petkov, MD*, Charles A. Napolitano, MD, PhD*, H. Gareth Tobler, MD{ddagger}, Thomas J. Ferrer, MD{ddagger}, J. Mauricio Palacios, MD*, and Michael D. Wangler, MD*

From the Departments of *Anesthesiology and {ddagger}Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas

Address correspondence and reprint requests to Michael D. Wangler, MD, Associate Professor, Department of Anesthesiology, Slot #515, University of Arkansas for Medical Sciences, 4301 West Markham, Little Rock, AR 72205. Address e-mail to mwangler{at}uams.edu.

Survival after the rupture of the both mitral and tricuspid valves in blunt thoracic trauma is uncommon and requires prompt diagnosis and treatment. We present a case in which transesophageal echocardiography performed in the operating room by the anesthesiologist identified the etiology of hemodynamic instability and facilitated successful emergency replacement of both valves.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.