An Operative Case of Traumatic Aortic Regurgitation

(Department of Cardiovascular surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan)

Shinnosuke Okuma Takahiko Misumi Tsutomu Itou
Akihiro Yoshitake Osamu Ishida Akinori Hirano
Case reports of traumatic aortic regurgitation are rare. We report a case of a 62-year-old man injured by falling from a paraglider. After recovering from multiple injuries and discharge, he began to suffer from dyspnea. Severe aortic regurgitation and pseudoaneurysm of the sinus of Valsalva were diagnosed by ultrasound cardio graphy(UCG)and multi-detector-row computer tomography(MDCT). After cardiac failure was controlled, we operated. The commissure between the left and the right coronary cusps was detached from the aortic wall, and a modified Bentall operation was performed. The patient recovered well and was discharged uneventfully.
  Jpn. J. Cardiovasc. Surg. 42:179-182(2013)

Keywords:thoracic injury, traumatic aortic regurgitation, Bentall operation, aortic pseudoaneurysm