1. Subacute aortic regurgitation due to traumatic tear in the aortic wall
- Author
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Yodo Tamaki, Toshihiro Tamura, Masashi Amano, Yoshihisa Nakagawa, Suguru Nishiuchi, Maiko Kuroda, Hirokazu Kondo, Chisato Izumi, Takeshi Harita, Shunsuke Nishimura, Soichiro Enomoto, Kazuo Yamanaka, Makoto Miyake, Miyako Imanaka, and Jiro Sakamoto
- Subjects
Aortic valve ,medicine.medical_specialty ,business.industry ,Traffic accident ,Regurgitation (circulation) ,030204 cardiovascular system & hematology ,Commissure ,medicine.disease ,Article ,Aortic wall ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Aortic valve replacement ,Internal medicine ,Heart failure ,medicine ,Cardiology ,cardiovascular system ,Left coronary cusp ,030212 general & internal medicine ,Cardiology and Cardiovascular Medicine ,business - Abstract
A 37-year-old man presented with heart failure caused by severe aortic regurgitation (AR). He had a history of being involved in a traffic accident 3 months earlier. Imaging tests at admission detected no abnormalities in the aortic valve or aortic wall; however, the left coronary cusp prolapsed slightly on transthoracic echocardiography. He underwent aortic valve replacement because of uncontrolled heart failure and severe AR. Intraoperatively, the intima of the aortic wall just above the commissure of the left and right coronary cusps was torn to the short axial direction. Local aortic tear was the final diagnosis for the subacute AR.
- Published
- 2018