[Hip fracture-dislocation (Pipkin type IV) associated with an apparent traumatic aortic valve rupture. Case history].
Traumatic aortic valve rupture with resultant aortic insufficiency is a rare complication of blunt trauma. Here reported is a case with a posterior fracture-dislocation of the hip (Pipkin type-IV) and an undisplaced sternum fracture who developed hemodynamic instability in the clinical follow-up and was diagnosed having a traumatic aortic valve rupture using echocardiography. He first was treated with a biological valve replacement. Two weeks later a total hip arthroplasty combined with the osteosynthesis of the posterior wall of the acetabulum was performed. Sternum fracture healed conservatively. In multiply injured patients especially with a blunt thorax trauma hemodynamic instability despite appropriate fluid replacement should rise the suspicion of cardiac injuries, especially traumatic aortic valve rupture. Echocardiography is a simple but reliable method for the diagnosis.
Göğüş
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Kadir Has Universitesi Tip Fakültesi Florence Nightingale Hastanesi Abide-i Hürriyet cad. No. 290 Sişli, Istanbul. agogus@hotmail.com
Akpinar
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S
Unal
M
M
Sönmez
B
B
Hamzaoğlu
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D000368:Aged; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip; D001705:Bioprosthesis; D017548:Echocardiography, Transesophageal; D005593:Fracture Fixation, Internal; D006350:Heart Valve Prosthesis; D006617:Hip Dislocation / Q000150:complications* / Q000601:surgery; D006620:Hip Fractures / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D012421:Rupture / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D013249:Sternum / Q000293:injuries; D014949:Wounds, Nonpenetrating / Q000150:complications*