Ashida Y, Araki K, Hara Y, Ishiguro S, Kuroda H, Mori T
Second Department of Surgery, Tottori University, Faculty of Medicine, Yonago, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Feb;45(2):207-12.
A case report and a literature review of the patients in Japan who underwent surgical treatment of an aortic valve regurgitation due to nonpenetrating chest trauma are presented. A 70-year-old man was admitted to our hospital with multiple trauma, including fracture of sternum, caused by traffic accident. After treatment of respiratory and circulatory failure, he was found to have aortic regurgitation and subsequent congestive heart failure. The aortic valve replacement was performed and his postoperative course was good. The tear of aortic valve was detected in the noncoronary cusp, and the size of the tear was 4 mm. The aortic valve was not recognized the findings of inflammatory or rheumatic changes. Before this case, 15 cases were operated in Japan with the diagnosis of traumatic aortic regurgitation. We reviewed them in the table.
本文报告了1例日本因非穿透性胸部创伤接受主动脉瓣反流手术治疗患者的病例，并对相关文献进行了综述。一名70岁男性因交通事故导致多处创伤，包括胸骨骨折，入住我院。在治疗呼吸和循环衰竭后，发现他患有主动脉瓣反流并随后出现充血性心力衰竭。进行了主动脉瓣置换术，术后恢复良好。主动脉瓣撕裂位于无冠瓣，撕裂大小为4mm。未发现主动脉瓣有炎症或风湿性改变。在此病例之前，日本有15例因创伤性主动脉瓣反流接受手术治疗的病例。我们在表格中对其进行了综述。
