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October 4, 1965

Disruption of a Mitral-Valve ProsthesisA Complication Associated With Closed-Chest Cardiac Massage

JAMA. 1965;194(1):93-94. doi:10.1001/jama.1965.03090140101032
Abstract

EXTERNAL CARDIAC MASSAGE has wide application in the treatment of cardiac arrest. Though complications have been reported to accompany this maneuver,1-4 it is unquestionably a valuable resuscitative measure. Nevertheless, the case reported below suggests there are certain situations where closed-chest cardiac massage might well be hazardous.

Report of a Case  A 22-year-old mentally retarded woman was first admitted to North Carolina Memorial Hospital in 1955 with the diagnosis of rheumatic heart disease, mitral-valve insufficiency, and subacute bacterial endocarditis secondary to infection with α-hemolytic streptococci. At that time, her electrocardiogram showed frequent premature ventricular contractions with runs of bigeminal rhythm. She responded well to therapy and was discharged on a regimen of prophylactic penicillin and digitalis.Her second admission was in 1961 for sterilization by abdominal hysterectomy. Her preoperative and postoperative course was complicated by ventricular arrhythmia, necessitating a prolonged hospitalization.In April 1962, prior to her third admission, she

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