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Isolated Perforation of Left Coronary Cusp after Blunt Chest Trauma

Left coronary cusp perforation is an extremely rare consequence of blunt chest trauma. A 22-year-old male presented after a motor vehicle accident with dyspnea. Transthoracic echocardiogram (TTE) and transesophageal echocardiogram (TEE) showed moderate to severe aortic regurgitation with prolapsing...

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Detalles Bibliográficos
Autores principales: Maini, Rohit, Dadu, Razvan T., Addison, Daniel, Cunningham, Luke, Hamzeh, Ihab, Wall, Matthew, Lakkis, Nasser, Tabbaa, Rashed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4352746/
https://www.ncbi.nlm.nih.gov/pubmed/25802765
http://dx.doi.org/10.1155/2015/235629
Descripción
Sumario:Left coronary cusp perforation is an extremely rare consequence of blunt chest trauma. A 22-year-old male presented after a motor vehicle accident with dyspnea. Transthoracic echocardiogram (TTE) and transesophageal echocardiogram (TEE) showed moderate to severe aortic regurgitation with prolapsing right coronary cusp. In the operating room he was found to have a left coronary cusp tear near the annulus and an enlarged right cusp. The patient recovered well after successful aortic valve replacement with a mechanical valve. Traumatic aortic regurgitation with left cusp perforation is serious and surgical intervention may be lifesaving if performed timely.