書誌事項
- タイトル別名
-
- An unusual case of traumatic aortic regurgitation
この論文をさがす
抄録
We present a rare, nonpenetrating aortic valve injury after blunt chest trauma. A 53-year-old man on a bike collided with a truck and suffered bilateral hemopneumothrax, lung contusions and multiple rib fractures in the chest and many other traumas. Diastolic murmur was recognized with developing heart failure on the 18th day after the accident. An transthoracic echocardiography revealed severe aortic valve regurgitation without left ventricular dilatation and as infectious endocarditis was ruled out by transesophageal echocardiography, blood culture and chest CT, therefore we diagnosed it as a nonpenetrating aortic valve injury with acute onset regurgitation caused by blunt impact. Aortic valve was replaced on the 119th day. Inspection during the surgery made it apparent that the commissure between the non-coronary cusp leaflet and the left coronary cusp leaflet was detached from the aortic wall and neither tear nor avulsion existed in any one of the three cusp leaflets, which was comfirmed by histological examination. To our knowledge, aortic valve injury of this kind has never been reported.<br>The patient's postoperative course was uneventful and he discharged on the 140th day after the accident.
収録刊行物
-
- 日本集中治療医学会雑誌
-
日本集中治療医学会雑誌 10 (1), 17-22, 2003
一般社団法人 日本集中治療医学会
- Tweet
詳細情報 詳細情報について
-
- CRID
- 1390282679421740416
-
- NII論文ID
- 130003641288
- 10017020821
-
- NII書誌ID
- AN10474053
-
- ISSN
- 1882966X
- 13407988
- http://id.crossref.org/issn/13407988
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- Crossref
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可