Severe mitral regurgitation following blunt trauma of the chest as a cause of over heart failure

A case of a 33-year-old previously healthy man who due to a car accident suffered from severe multiorgan injuries, is presented. Two months following the injury, the patient developed symptoms of severe heart failure. A significant mitral regurgitation was confirmed together with a torn chordate tendineae being the main cause of the valve dysfunction. Mitral valve plasty was performed using a Carpentier Edwards mitral ring. After 14 months, the patient was selected for reoperation due to the endocarditis process which also affected the mitral ring. The patient had a St. Jude Medical 27-mm mitral valve implanted.