Acute aortic valvular incompetence following blunt thoracic deceleration injury: case report.
Blunt trauma leading to aortic valvular incompetence is rarely encountered, with 27 cases reported to date. All cusps and commissures are involved to a similar degree. Treatment includes either reattachment of cusps to the annulus (80% recurrence of incompetence) or valvular replacement (no recurrence). Valve replacement is the treatment of choice for these patients.
German
D S
DS
Department of Surgery, St. Louis University School of Medicine, Missouri 63110.
Shapiro
M J
MJ
Willman
V L
VL
D000063:Accidents, Traffic; D000328:Adult; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001027:Aortography; D003654:Deceleration; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D013898:Thoracic Injuries / Q000150:complications* / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000209:etiology