Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Aortic valve tear with severe aortic regurgitation following blunt chest trauma. | Li et al. Journal of Cardiothoracic Surgery 2011 6 84 http content 6 1 84 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Aortic valve tear with severe aortic regurgitation following blunt chest trauma Weidong Li Yiming Ni Xin chen and Liang Ma Abstract An aortic valve tear associated with aortic regurgitation following blunt chest trauma is seldom seen. In this case a 55-year-old man sustained a non-penetrating chest injury caused by a sudden fall from 10 meters. This led to a sizable tear in the left coronary cusp associated with severe aortic insufficiency. The case was treated successfully by surgical replacement of the aortic valve with a mechanical prosthesis. Background Aortic valve tear is a rare complication of blunt chest trauma which can lead to severe aortic regurgitation. Blunt chest traumas are frequently caused by traffic accidents or falls from a great height. Here we present a case of a tear in the aortic valve associated with severe aortic regurgitation following blunt chest trauma caused by falling from a great height. Case report A 55-year-old man suffered from a sudden fall from 10 meters. He was immediately sent to a local hospital and was diagnosed with multiple bone fractures including pelvis right acetabulum and right radius. He also complained of shortness of breath and transthoracic echocardiography TTE showed aortic valve prolapse associated with moderate aortic regurgitation. Due to the stable hemodynamic situation conservative treatment of the bone fractures was given first. Four months later he was transferred to our hospital for further treatment of aortic prolapse. On physical examination the patient showed no acute distress. His blood pressure was 135 65 mmHg and pulse rate was 81 beats per min. A grade 4 6 diastolic murmur and significant thrill was heard in the aortic area. An electrocardiogram showed no abnormality. Chest X-ray did not reveal pulmonary congestion and pulmonary .
