Noda Kazuki, Takahashi Yosuke, Morisaki Akimasa, Sakon Yoshito, Nishiya Kenta, Inno Goki, Nishimoto Yukihiro, Sumii Yosuke, Nagao Munehide, Shibata Toshihiko
Department of Cardiovascular Surgery, Osaka Metropolitan University Graduate School of Medicine, 1-4-3, Asahichou, Abenoku, Osaka, 545-8585, Japan.
Surg Case Rep. 2024 Feb 14;10(1):39. doi: 10.1186/s40792-024-01837-6.
Aortic valve perforation is a rare complication of blunt chest trauma. We report a case of delayed aortic insufficiency presenting several months after trauma.
A 17-year-old male presented to the emergency department with traumatic brain injuries and blunt chest trauma, but no evidence of cardiac injuries. Three months later, he developed acute heart failure due to severe aortic valve regurgitation with left ventricular dysfunction. A sizable tear in the right coronary cusp caused aortic insufficiency. He was treated successfully by surgical replacement with an aortic bioprosthesis.
We reported a successful surgical case of valve replacement for delayed aortic valve perforation. Delayed valve perforation should be kept in mind after blunt chest trauma.
主动脉瓣穿孔是钝性胸部创伤的一种罕见并发症。我们报告一例创伤后数月出现延迟性主动脉瓣关闭不全的病例。
一名17岁男性因创伤性脑损伤和钝性胸部创伤就诊于急诊科，但无心脏损伤证据。三个月后，他因严重主动脉瓣反流伴左心室功能障碍发展为急性心力衰竭。右冠状动脉瓣叶出现一个较大的撕裂口，导致主动脉瓣关闭不全。他通过主动脉生物假体置换手术成功治愈。
我们报告了一例延迟性主动脉瓣穿孔瓣膜置换手术成功的病例。钝性胸部创伤后应考虑延迟性瓣膜穿孔。
