title: Successful valve repair in traumatic aortic valve regurgitation.
abstract: Case 1 was a 20-year-old male who had been involved in a traffic accident and developed aortic regurgitation (AR) eight months later. He was admitted with dilatation of the left ventricle. Transesophageal echocardiography (TEE) showed severe AR with perforation of the right coronary cusp. Case 2 was a 50-year-old male who had fallen from a height four months previously, and was admitted with congestive heart failure due to severe AR. TEE showed severe AR due to rupture of the right coronary cusp. In the former patient, valve repair was performed with a patch of autologous pericardium. In the latter patient, cusp reconstruction was performed with autologous pericardium and the commissural plication technique, achieving successful aortic valve repair.
authors.affiliation: Department of Cardiovascular Surgery, Iwate Medical University Memorial Heart Center, 1-2-1 Chuodori Morioka, Iwate 020-8505, Japan. h_kin@imu.ncvc.go.jp
authors.forename: Hajime
authors.initials: H
authors.lastname: Kin
authors.forename: Kenji
authors.initials: K
authors.lastname: Minatoya
authors.forename: Masayuki
authors.initials: M
authors.lastname: Mukaida
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Okabayashi
mesh_terms: D000058:Accidental Falls; D000063:Accidents, Traffic; D001021:Aortic Valve / Q000293:injuries / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D017548:Echocardiography, Transesophageal; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation*; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D016277:Ventricular Function, Left; D055815:Young Adult