Chi S, Blair T C, Gonzalez-Lavin L
Thorax. 1977 Oct;32(5):619-22. doi: 10.1136/thx.32.5.619.
Rupture of the normal aortic valve after blunt trauma to the chest is seen infrequently. With the ever-increasing incidence of car and motorcycle accidents, this injury should be considered during the initial examination of an accident victim. Any patient without a history of heart disease presenting with heart murmurs after severe blunt trauma to the chest should give rise to the suspicion of aortic valve damage. When the diagnosis is proved, aortic valve expoloration is necessary. Review of the published cases establishes that valve replacement is the treatment of choice.
胸部钝性创伤后正常主动脉瓣破裂较为罕见。随着汽车和摩托车事故发生率的不断上升,在对事故受害者进行初步检查时应考虑到这种损伤。任何没有心脏病史但在胸部遭受严重钝性创伤后出现心脏杂音的患者,都应怀疑有主动脉瓣损伤。一旦确诊,就有必要进行主动脉瓣探查。对已发表病例的回顾表明,瓣膜置换是首选的治疗方法。