title: Marfan syndrome as a predisposing factor for traumatic aortic insufficiency.
abstract: Despite the increase in car accidents, aortic valve injury from blunt trauma remains rare. In one case, a 30-year-old Marfan male, who was under observation at our outpatient clinic, suffered from aortic regurgitation due to a tear in the left coronary cusp of a previously echocardiographically normal valve. Acute ventricular failure demanded surgical management within 3 days after an automobile accident. The case was successfully treated by replacement of the aortic valve with a no. 23 Sorin Bicarbon prosthesis. The patient fully recovered and experienced an uneventful 6 months of follow-up.
authors.affiliation: Dipartimento di Scienze Cardiotoraciche e Respiratorie, V Monaldi Hospital, Seconda Università di Napoli, Naples, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Onorati
authors.forename: Luca Salvatore
authors.initials: LS
authors.lastname: De Santo
authors.forename: Antonio
authors.initials: A
authors.lastname: Carozza
authors.forename: Marisa
authors.initials: M
authors.lastname: De Feo
authors.forename: Attilio
authors.initials: A
authors.lastname: Renzulli
authors.forename: Maurizio
authors.initials: M
authors.lastname: Cotrufo
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001021:Aortic Valve / Q000293:injuries / Q000473:pathology* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000175:diagnosis / Q000473:pathology*; D013898:Thoracic Injuries / Q000150:complications*; D018487:Ventricular Dysfunction, Left / Q000209:etiology