Diagnosis and management of acute aortic valvular disruption secondary to rapid-deceleration trauma.
Acute aortic valve rupture with resultant aortic insufficiency is a rare complication of blunt trauma. We describe a case in which a patient fell 70 feet, sustaining avulsion of two leaflets of the aortic valve along with multiple other injuries, primarily orthopedic. Our case demonstrates that patients with acute aortic regurgitation can be managed nonoperatively if necessary in the acute setting, enabling management of other significant trauma. Subsequent semielective valvular replacement may be undertaken if other injuries must take precedence.
Munshi
I A
IA
Department of Surgery, The New York Hospital-Cornell Medical Center, New York, New York, USA.
Barie
P S
PS
Hawes
A S
AS
Lang
S J
SJ
Fischer
E
E
D000058:Accidental Falls; D001021:Aortic Valve / Q000293:injuries*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000209:etiology* / Q000503:physiopathology; D012421:Rupture