Korean J Thorac Cardiovasc Surg.
2000 Dec;33(12):968-970.
Surgical Treatment of Aortic Valve Injury after Blunt Chest Trauma
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University
Abstract
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Twenty six year old man was struck by a bus, and sustained multiple rib fracture, sternal fracture, right scapular fracture, left subclavian arterial obstruction, and traumatic tracheoesophageal fistula. Diastolic murmur was heard, and echocardiography revealed a markedly regurgitant aortic valve and suspected vegetation. After establishing cardiopulmonary bypass and cardioplegic arrest, the aorta was opened. The left and right coronary cusp were ruptured 10mm, and 7mm, respectively. The leaflets were sutured with running 5-0 Prolene sutures. After the repair of the ruptured valve cusp, the valve was coapted well. He was discharged with excellent outcome on postoperative day 14.