Isolated Perforation of Left Coronary Cusp after Blunt Chest Trauma

Left coronary cusp perforation is an extremely rare consequence of blunt chest trauma. A 22-year-old male presented after a motor vehicle accident with dyspnea. Transthoracic echocardiogram (TTE) and transesophageal echocardiogram (TEE) showed moderate to severe aortic regurgitation with prolapsing right coronary cusp. In the operating room he was found to have a left coronary cusp tear near the annulus and an enlarged right cusp. The patient recovered well after successful aortic valve replacement with a mechanical valve. Traumatic aortic regurgitation with left cusp perforation is serious and surgical intervention may be lifesaving if performed timely.

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Left Atrial Appendage Rupture due to Blunt Chest Trauma during a Motor Vehicle Accident

Japanese Journal of Cardiovascular Surgery ◽

10.4326/jjcvs.50.165 ◽

2021 ◽

Vol 50 (3) ◽

pp. 165-169

Author(s):

Ryota Nomura ◽

Shinji Kawaguchi ◽

Takahiro Ozawa ◽

Shinnosuke Goto ◽

Yasuhiko Terai ◽

...

Keyword(s):

Left Atrial ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Left Atrial Appendage ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Atrial Appendage ◽

Vehicle Accident

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Acquired Tracheoesophageal Fistula following Blunt Trauma to the Chest

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230201000418 ◽

2002 ◽

Vol 10 (4) ◽

pp. 349-350 ◽

Cited By ~ 7

Author(s):

Bambarawane LA Karunaratne ◽

Panini A Gooneratne ◽

Savitri Wijesekara ◽

Gamini Goonetilleke

Keyword(s):

Blunt Trauma ◽

Chest Wall ◽

Blunt Chest Trauma ◽

Tracheoesophageal Fistula ◽

Chest Trauma ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Young Male ◽

Vehicle Accident

Tracheoesophageal fistula following blunt chest trauma is rare. Typically the patient is a young male with an elastic chest wall who is involved in a motor vehicle accident. In this case the victim was a motorcyclist who collided with a stationary lorry. He underwent surgery 4 weeks after the injury made an uncomplicated recovery.

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Blunt chest trauma: An audit of injuries diagnosed by the MDCT examination

Vojnosanitetski pregled ◽

10.2298/vsp1402161t ◽

2014 ◽

Vol 71 (2) ◽

pp. 161-166 ◽

Cited By ~ 10

Author(s):

Ivan Turkalj ◽

Kosta Petrovic ◽

Sanja Stojanovic ◽

Djordje Petrovic ◽

Alma Brakus ◽

...

Keyword(s):

Computed Tomography ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Imaging Modality ◽

Head Injuries ◽

Chest Injuries ◽

Vehicle Accident ◽

Organ Systems

Background/Aim. Multidetector computed tomography (MDCT) characterized by speed and precision is increasingly accessible in emergency wards. The aim of our study was to determine the most common injuries to the chest region, as well as type associated extrathoracic injuries, and the treatment outcome. Methods. This prospective study included 61 patients with blunt trauma who were submitted to computed tomography (CT) of the thorax. The number of injuries was evaluated by organs and organ systems of the chest. The cause of the injury, the length and the outcome of the treatment, and the presence of injuries in other regions were assessed. Results. Chest injuries were associated with injuries to other regions in 80.3% cases, predominantly injuries to extremities or pelvic bones in 54.1% cases, followed by head injuries in 39.3% patients. Associated thoracic injuries were present in 90.9% of patients with lethal outcome. Lung parenchymal lesions, pleural effusions and rib fractures were the most common injuries affecting 77.1%, 65.6% and 63.9% of the cases, respectively. Conclusion. Blunt chest trauma is a significant problem affecting predominantly males in their forties and it is usually caused by a motor vehicle accident. In case of pneumomediastinum or mediastinal haematoma, the use of 3D reconstructions is advised for diagnosing possible tracheobronchial ruptures and thoracic aorta injuries. Increased resolution of CT scanners yielded a large number of findings that are occult on radiography, especially in the event of lung parenchymal and pleural injuries. However, none imaging modality can replace surgical judgement.

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Aortic valve tear with severe aortic regurgitation following blunt chest trauma

Journal of Cardiothoracic Surgery ◽

10.1186/1749-8090-6-84 ◽

2011 ◽

Vol 6 (1) ◽

Cited By ~ 9

Author(s):

Weidong Li ◽

Yiming Ni ◽

Xin chen ◽

Liang Ma

Keyword(s):

Aortic Valve ◽

Aortic Regurgitation ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Severe Aortic Regurgitation

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An unfortunate case of acute aortic regurgitation: Isolated aortic valve prolapse following a motor vehicle accident

Proceedings of Singapore Healthcare ◽

10.1177/20101058211019050 ◽

2021 ◽

pp. 201010582110190

Author(s):

Raja Ezman Raja Shariff ◽

Julina Md Noor ◽

Muhammad Abid Amir ◽

Khairul Shafiq Ibrahim ◽

Sazzli Kasim

Keyword(s):

Aortic Valve ◽

Aortic Regurgitation ◽

Aortic Root ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Ventilatory Support ◽

Transoesophageal Echocardiography ◽

Vehicle Accident ◽

Chest Wall Trauma ◽

Successful Weaning

We present an unfortunate case of severe acute aortic regurgitation (AR) following a motor vehicle accident (MVA) linked to isolated aortic valve prolapse, with no evidence of aortic root disruption or other valvular pathology missed on initial presentation. A 55-year-old gentleman, with known hypertension, was brought into the emergency department following a MVA, where he sustained severe intra-thoracic injuries. A bedside transthoracic echocardiogram (TTE) revealed a trileaflet aortic valve with evidence of mal-coaptation and severe AR. A computed tomography angiography of the thorax, however, failed to demonstrate evidence of dissection along the aortic root or ascending aorta. Following successful weaning off ventilatory support, the patient was discharged, but he presented back within a week with worsening dyspnoea and palpitations. Examination and investigation supported a diagnosis of acute heart failure with evident severe AR on repeat TTE. Transoesophageal echocardiography was performed, revealing prolapsed right and non-coronary cusps which were not seen in previous studies but absent evidence of the aortic root, ascending and descending aorta dilatation or dissection. Valvular complications rarely occur following blunt chest wall trauma, often involving right-sided valves due to their proximity to the sternum. Although aortic valve disruption can occur following MVAs, it is often associated with trauma to the aorta. Based on our literature search, there have been only a handful of reported cases of severe acute AR due to isolated prolapse or ruptured aortic valves in the absence of aortic valve perforation, aortic root disruption or dissection and other valvular abnormalities following trauma.

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Severe aortic regurgitation following blunt chest trauma due to home accident

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492320972227 ◽

2020 ◽

pp. 021849232097222

Author(s):

Nguyen Hoang Bac ◽

Nguyen Hoang Dinh ◽

Truong Quang Binh ◽

Le Minh Khoi

Keyword(s):

Aortic Valve ◽

Aortic Regurgitation ◽

Blunt Chest Trauma ◽

Chest Trauma ◽

Clinical Course ◽

Mechanical Ventilator ◽

Severe Aortic Regurgitation ◽

Aortic Valve Leaflet ◽

Rare Manifestation ◽

Bioprosthetic Valve Replacement

Aortic valve rupture is a rare manifestation in comparison to cardiac rupture or contusion following blunt chest trauma. We report a case of aortic valve leaflet rupture with severe aortic regurgitation after a fall from a ladder. The aortic valve rupture had been missed in the emergency ultrasound and was only detected on comprehensive echocardiography after failure of weaning from a mechanical ventilator. The patient underwent aortic bioprosthetic valve replacement that dramatically changed the clinical course.

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