[Traumatic aortic regurgitation complicating chronic bronchitis; report of a case].
A 61-year-old man with diabetes mellitus and chronic bronchitis was brought to the hospital after falling from a roof accidentally. He received blunt trauma to the left chest wall including left rib fractures, pneumothorax, hemothorax and a fracture of left scapula. After endotracheal intubation and chest drainage, he was transferred to the intensive care unit. Sixteen days later, congestive heart failure appeared. Echocardiography showed a severe aortic valve regurgitation with a prolapse of non-coronary cusp. Eight months after the injury, his heart failure deteriorated. He underwent aortic valve replacement with a mechanical prosthesis. Upon examining the aortic valve, we noted 2 perforations in the non-coronary cusp of the aortic valve. Postoperative course was uneventful.
Yuasa
T
T
Department of Cardiovascular Surgery, Okazaki City Hospital, Okazaki, Japan.
Kawaguchi
L
L
Oohara
Y
Y
Yasuura
K
K
Tanaka
T
T
Asaoka
M
M
D000061:Accidents, Home; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D001991:Bronchitis / Q000150:complications*; D002908:Chronic Disease; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D012253:Rib Fractures / Q000209:etiology; D012784:Shoulder Fractures / Q000209:etiology; D013898:Thoracic Injuries / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000209:etiology*