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From the Departments of *Anesthesiology and
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.
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