University Medical Center, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Asian Cardiovasc Thorac Ann. 2021 Jun;29(5):414-416. doi: 10.1177/0218492320972227. Epub 2020 Nov 5.
Aortic valve rupture is a rare manifestation in comparison to cardiac rupture or contusion following blunt chest trauma. We report a case of aortic valve leaflet rupture with severe aortic regurgitation after a fall from a ladder. The aortic valve rupture had been missed in the emergency ultrasound and was only detected on comprehensive echocardiography after failure of weaning from a mechanical ventilator. The patient underwent aortic bioprosthetic valve replacement that dramatically changed the clinical course.
主动脉瓣破裂的表现罕见，相较于钝性胸部创伤后的心脏破裂或挫伤。我们报告了一例因从梯子上坠落而导致主动脉瓣叶破裂伴严重主动脉瓣反流的病例。主动脉瓣破裂在急诊超声检查中漏诊，仅在机械通气脱机失败后进行全面超声心动图检查时才被发现。患者接受了主动脉生物瓣置换术，这极大地改变了患者的临床病程。
