Kim Siho, Park Joon Suk, Yoo Seung Min, Kim Kyung Ho, Yang Woo-In, Sung Jung-Hoon, Kim In Jai, Lim Sang-Wook, Cha Dong-Hun, Moon Jae-Youn
Department of Thoracic and Cardiovascular Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Department of Diagnostic Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Cardiovasc J Afr. 2014 Sep 23;25(5):e5-8. doi: 10.5830/CVJA-2014-039.
Rupture of the aorta is a relatively rare complication of blunt chest trauma, and traumatic rupture of the aortic valve is even rarer. Even though both result from blunt chest trauma, the causative mechanisms of aortic valve injury differ from those of descending aortic rupture. There are no previous reports in the literature of simultaneous injuries to both the descending aorta and the aortic valve. We report a case of a 70-year-old man who presented with traumatic aortic regurgitation combined with traumatic pseudoaneurysm of the aortic isthmus following blunt chest trauma, and its successful repair with a hybrid surgical strategy.
主动脉破裂是钝性胸部创伤相对罕见的并发症，而主动脉瓣创伤性破裂则更为罕见。尽管两者均由钝性胸部创伤引起，但主动脉瓣损伤的致病机制与降主动脉破裂不同。既往文献中尚无降主动脉和主动脉瓣同时受伤的报道。我们报告一例70岁男性患者，其在钝性胸部创伤后出现创伤性主动脉反流合并主动脉峡部创伤性假性动脉瘤，并采用杂交手术策略成功修复。
