Citation

Thomas B, Durant E, Barbant S, Nagdev A. Clin. Pract. Cases Emerg. Med. 2017; 1(3): 194-196.

Affiliation

Highland General Hospital, Department of Emergency Medicine, Oakland, California.

Copyright

(Copyright © 2017, Department of Emergency Medicine, University of California, Irvine)

DOI

10.5811/cpcem.2017.2.33021

PMID

29849292

PMCID

PMC5965168

Abstract

We report a case of a 52-year-old man who presented to the emergency department (ED) in extremis (hypotensive with an altered sensorium) with subsequent cardiac arrest after a motor vehicle collision. The initial trauma evaluation did not reveal a source of the hemodynamic compromise. A point-of-care ultrasound revealed severe mitral regurgitation secondary to an anterolateral papillary muscle rupture. Patient underwent successful emergent mitral valve replacement after initial resuscitative efforts and intraaortic balloon pump placement.

Language: en