Novel repair for late posttraumatic aortic valve injury and root pseudoaneurysm.
We report a case of posttraumatic aortic valve regurgitation and pseudoaneurysm of the aortic root diagnosed 22 months after a road traffic accident. The surgical treatment consisted of exclusion of the pseudoaneurysm with direct closure of the entry tear in the right coronary sinus followed by insertion of a Toronto stentless prosthesis (St. Jude Medical, St. Paul, MN). This surgical approach aimed to cover the repaired entry tear ensuring exclusion of the site. Recovery was uneventful and 12 month follow-up was unremarkable.
Venturini
Andrea
A
Department of Cardiac Surgery, Ospedale Civile Umberto I, Venezia Mestre, Italy. andrventurini@libero.it
Ascione
Raimondo
R
Ciulli
Franco
F
Polesel
Elvio
E
Moretti
Roberto
R
Angelini
Gianni D
GD
Zussa
Claudio
C
D000063:Accidents, Traffic; D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001011:Aorta / Q000293:injuries* / Q000601:surgery*; D001021:Aortic Valve / Q000293:injuries* / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D009049:Motorcycles; D009104:Multiple Trauma; D013536:Suture Techniques; D013997:Time Factors