Severe aortic regurgitation following blunt chest trauma due to home accident

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.

scholarly journals Isolated Perforation of Left Coronary Cusp after Blunt Chest Trauma

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Rohit Maini ◽  
Razvan T. Dadu ◽  
Daniel Addison ◽  
Luke Cunningham ◽  
Ihab Hamzeh ◽  
...  
Keyword(s):  
Aortic Regurgitation ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Mechanical Valve ◽  
Severe Aortic Regurgitation ◽  
Vehicle Accident ◽  
Coronary Cusp ◽  
Right Coronary Cusp

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.

scholarly journals Long-Term Survival on Medical Therapy Alone after Blunt-Trauma Aortic Regurgitation: Report of a New Case with Summary of 95 Others

2016 ◽  
Vol 43 (5) ◽  
pp. 446-452 ◽  
Author(s):  
Toshimitsu Tsugu ◽  
Mitsushige Murata ◽  
Keitaro Mahara ◽  
Shiro Iwanaga ◽  
Keiichi Fukuda
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Blunt Trauma ◽  
Aortic Regurgitation ◽  
Medical Therapy ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Term Survival ◽  
Long Term Survival

Aortic regurgitation resulting from blunt chest trauma has been reported only 95 times, to our knowledge. The noncoronary and right coronary cusps are the cardiac structures most often injured. Although the aortic leaflets can appear to be undamaged after nonpenetrating trauma, they can have pathologic abnormalities and insufficient function. Some cases of posttraumatic aortic regurgitation progress slowly. Aortic valve replacement is the optimal treatment. We present the case of a then-62-year-old man who has lived more than 5 years after blunt-trauma aortic regurgitation. His is the only case of long-term survival on medical therapy alone among the 96 cases summarized in this report.

Emergency aortic root replacement with the Bioconduit stentless aortic valve conduit

2020 ◽  
Vol 25 (6) ◽  
pp. 2055-2059
Author(s):  
ADRIAN TULIN ◽  
◽  
OVIDIU STIRU ◽  
MIRUNA LUANA MIULESCU ◽  
LAURA RADUCU ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Aortic Root ◽  
Aortic Root Replacement ◽  
Bentall Operation ◽  
Severe Aortic Regurgitation ◽  
Valve Conduit ◽  
Successful Case ◽  
Valved Conduit

This report concerns a 73-year-old woman who presented with asymptomatic aortic root an-eurysm with severe aortic regurgitation. The purpose of this article is to present our first successful case for emergency aortic root replacement (Bentall operation) that involves annular implantation of a pericardial valved conduit (Bioconduit TM, Biointegral Surgical, Inc., Ontario, Canada) and to discuss some essential technical clue issues related to this approach.

A case of quadricuspid aortic valve with severe aortic regurgitation diagnosed by transthoracic echocardiography

Choonpa Igaku ◽  
2011 ◽  
Vol 38 (4) ◽  
pp. 461-464
Author(s):  
Koutatsu NOMURA ◽  
Yoshikazu YAZAKI ◽  
Masako MIYASHITA ◽  
Sachiko OOTSUKI ◽  
Yutaka KUMAGAI ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Transthoracic Echocardiography ◽  
Quadricuspid Aortic Valve ◽  
Severe Aortic Regurgitation

Aortic valve rupture after blunt chest trauma

2006 ◽  
Vol 95 (12) ◽  
pp. 675-679 ◽  
Author(s):  
S. Asbach ◽  
M. P. Siegenthaler ◽  
F. Beyersdorf ◽  
C. Bode ◽  
Annette Geibel
Keyword(s):  
Aortic Valve ◽  
Blunt Chest Trauma ◽  
Chest Trauma

Severe aortic regurgitation complicating percutaneous aortic valve valvuloplasty

1989 ◽  
Vol 16 (2) ◽  
pp. 130-132 ◽  
Author(s):  
Larry S. Dean ◽  
Jerry W. Chandler ◽  
Carlos B. Saenz ◽  
William A. Baxley ◽  
Thomas M. Bulle
Keyword(s):  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Severe Aortic Regurgitation

scholarly journals Quadricuspid aortic valve associated with severe aortic regurgitation.

1985 ◽  
Vol 49 (2) ◽  
pp. 190-191 ◽  
Author(s):  
MASAHIKO MATSUMOTO ◽  
SHIGEHIKO MIKI ◽  
KENJI KUSUHARA ◽  
YUICHI UEDA ◽  
YUTAKA OHKITA ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Quadricuspid Aortic Valve ◽  
Severe Aortic Regurgitation

scholarly journals Transcatheter aortic valve implantation for severe aortic regurgitation in a patient with end-stage respiratory failure

2020 ◽  
Vol 26 (1) ◽  
pp. 58-70
Author(s):  
Aleksandra Cherneva ◽  
Zoran Stankov ◽  
Naidenka Zlatareva ◽  
Iveta Tasheva ◽  
Georgi Dobrev ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Functional Class ◽  
Severe Aortic Regurgitation ◽  
Transcatheter Aortic Valve ◽  
History Of ◽  
And Migration ◽  
End Stage ◽  
Valve Implantation

We report a case of a high-risk 73-year–old patient with a combined aortic valve disease with predominant severe, symptomatic aortic regurgitation and a history of an end-stage respiratory failure with prohibitive surgical risk who was successfully treated using a minimalist approach to implant off-label а self-expandable Medtronic Evolut R prosthesis. This case report demonstrates that the self-expandable prosthesis Medtronic Evolut R might be implanted without tissue damage and migration in a moderate-calcified tricuspid aortic valve with predominant regurgitation and mild stenosis with satisfactory hemodynamic results and improvement in functional class heart failure in a patient with concomitant severe respiratory failure.

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