Aortic valve injury after blunt chest trauma due to avulsion of the valve from the annulus or cusp tear commonly results in severe acute regurgitation. Here reported is an unusual case of a 56-year-old woman with multiple traumatic injuries to head, chest, abdomen, and pelvis, in whom massive aortic regurgitation resulting in wide pulse pressure and low cardiac output presented 10 days after admission. The left coronary leaflet explosion was eventually identified at the surgery and managed by valve replacement, due to the extremely weak consistency of the remaining valve tissue. Whether leaflet rupture occurred late after original blunt chest trauma remains conjectural.
Late Aortic Valve Rupture After Blunt Chest Trauma
Davide de Manna, Nunzio;Hoxha, Stiljan;Cerrito, Luca Felice;Monica, Carletti;Faggian, Giuseppe;Luciani, Giovanni Battista
2020-01-01
Abstract
Aortic valve injury after blunt chest trauma due to avulsion of the valve from the annulus or cusp tear commonly results in severe acute regurgitation. Here reported is an unusual case of a 56-year-old woman with multiple traumatic injuries to head, chest, abdomen, and pelvis, in whom massive aortic regurgitation resulting in wide pulse pressure and low cardiac output presented 10 days after admission. The left coronary leaflet explosion was eventually identified at the surgery and managed by valve replacement, due to the extremely weak consistency of the remaining valve tissue. Whether leaflet rupture occurred late after original blunt chest trauma remains conjectural.
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