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A Rabbit Aortic Valve Stenosis Model Induced by Direct Balloon Injury

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Delayed Aortic Valve Perforation Caused by Blunt Trauma.

Kazuya Tateishi¹, Chantal Y Asselin², Elie M Elmann³

¹Cardiovascular Services, Englewood Health, Englewood, NJ 07631, USA.

Diagnostics (Basel, Switzerland)

|February 11, 2023

Summary

Traumatic aortic regurgitation (AR) is a rare complication of blunt chest trauma. A 7-year delay in diagnosis highlights the need to investigate trauma history in patients with severe AR of unknown origin.

Keywords:

aortic regurgitation blunt chest trauma delayed onset

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Area of Science:

Cardiology
Trauma Surgery

Background:

Traumatic aortic regurgitation (AR) is a rare but serious complication following blunt chest trauma.
Delayed presentation of AR symptoms, even years after the initial injury, can occur.

Purpose of the Study:

To report a case of severe AR presenting 7 years after blunt chest trauma.
To emphasize the importance of considering trauma history in diagnosing AR of unknown etiology.

Main Methods:

Case report of a 35-year-old male with delayed AR presentation.
Diagnostic imaging included transthoracic and transesophageal echocardiography.
Surgical aortic valve replacement confirmed the diagnosis and injury.

Main Results:

Severe AR with two distinct jets was identified.
A large perforation of the right coronary cusp, attributed to blunt chest trauma, was surgically confirmed.
The patient was successfully treated with aortic valve replacement.

Conclusions:

Blunt chest trauma can lead to gradually worsening AR over many years.
A thorough trauma history is crucial for diagnosing AR, especially when the origin is unclear.