Concomitant aortic valve and internal mammary artery injuries in blunt chest trauma: report of a case.
We report a case of concomitant injury to the aortic valve and internal mammary artery (IMA) from nonpenetrating chest trauma. To our knowledge, this is the first such case to be reported. Transcatheter arterial embolization (TAE) following diagnostic angiography offers an effective and minimally invasive treatment for traumatic IMA injuries. Because there might be an asymptomatic interval after traumatic aortic valve injuries, serial physical examinations and repeated echocardiography should be mandatory for patients with de novo heart failure after blunt chest trauma. Transesophageal echocardiography can provide a clearer image of cardiac injuries than transthoracic echocardiography, particularly if there is extensive anterior mediastinal hematoma resulting from IMA trauma.
Yeh
Chun-Chieh
CC
Department of Surgery, China Medical University Hospital, Trauma and Emergency Center, Taichung, Taiwan.
Hsieh
Chi-Hsun
CH
Wang
Yu-Chun
YC
Chung
Ping-Kuei
PK
Chen
Ray-Jade
RJ
D000328:Adult; D000792:Angiography; D001021:Aortic Valve / Q000293:injuries*; D017548:Echocardiography, Transesophageal; D004621:Embolization, Therapeutic; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000293:injuries*; D009104:Multiple Trauma / Q000175:diagnosis / Q000628:therapy; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*