Kasuya S, Shinonaga M, Moro H, Sakashita I
Department of Thoracic and Cardiovascular Surgery, Tachikawa General Hospital, Nagaoka, Japan.
Kyobu Geka. 1993 Mar;46(3):247-50.
While a 70-year-old man was riding a motorcycle, he was hit by car on his chest on October 19, 1990. Medical check-up at the emergency room of another hospital was negative. However, he fell in to dyspnea on the night of next day which progressed to develop signs of orthopnea. He revisited the hospital where he was found to have aortic regurgitation and subsequent congestive heart failure after medical examination including echocardiography and was referred to our hospital 7 days after the accident. He was operated upon the following day. On opening the pericardium, about 100 ml of reddish black fluid was accumulated. The appearance of the heart was normal except for black discoloration of the epicardial fat pad at the base of the aorta. Opening the ascending aorta transversely, the right coronary cusp was found to be perforated. The aortic valve was considered preferable to replace than to repair. The aortic valve was replaced with a St. Jude Medical valve. His recovery was uneventful and he has been well thereafter.
1990年10月19日，一名70岁男性骑摩托车时胸部被汽车撞到。在另一家医院的急诊室进行的医学检查结果为阴性。然而，第二天晚上他出现呼吸困难，并逐渐发展为端坐呼吸的症状。他再次前往医院，经包括超声心动图在内的医学检查后，被发现患有主动脉瓣关闭不全及随后的充血性心力衰竭，事故发生7天后被转诊至我院。次日为他进行了手术。打开心包后，发现积聚了约100毫升红黑色液体。除主动脉根部的心外膜脂肪垫呈黑色外，心脏外观正常。横向切开升主动脉后，发现右冠状动脉瓣穿孔。主动脉瓣被认为更适合置换而非修复。用圣犹达医疗瓣膜替换了主动脉瓣。他恢复顺利，此后一直状况良好。
