Takaki Y, Furukawa S, Matsumoto N, Oda T, Tsuboi H, Esato K
Department of Thoracic and Cardiovascular Surgery, Saiseikai Yamaguchi General Hospital, Yamaguchi, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 Dec;44(12):2225-30.
Aortic regurgitation due to nonpenetrating trauma of the chest is an extremely rare disease and only 12 cases have been reported in this country. We report a case we treated and present additional of retrospective discussions. The patient was a 59-year-old man who lost consciousness due to a heavy blow to the chest during work. He was diagnosed as having acute aortic regurgitation. A close examination on the 3rd day after the injury revealed cerebral embolism and heart failure could not be controlled by physical treatment. Surgery was performed on the 5th day after the injury. The aorta was incised under cardiopulmonary bypass to examine aortic valves. Commissures between the RCC and the NCC and between the NCC and the LCC had been torn from the aortic wall and injured and thrombus adhesion was observed in a part of the NCC. After repairing the aortic wall, the valve was replaced by SJM valve. Postoperative course is satisfactory.
因胸部非穿透性创伤导致的主动脉瓣关闭不全是一种极为罕见的疾病，在该国仅有12例相关病例报道。我们报告了一例我们治疗的病例，并进行了额外的回顾性讨论。患者为一名59岁男性，在工作期间胸部受到重击后失去意识。他被诊断为急性主动脉瓣关闭不全。受伤后第3天的详细检查显示存在脑栓塞，且心力衰竭无法通过物理治疗得到控制。在受伤后第5天进行了手术。在体外循环下切开主动脉以检查主动脉瓣。右冠瓣与无冠瓣之间以及无冠瓣与左冠瓣之间的连合处已从主动脉壁撕裂并受损，且在无冠瓣的一部分观察到血栓附着。修复主动脉壁后，用圣犹达医疗公司（SJM）的瓣膜置换了瓣膜。术后病程令人满意。
