An Operative Case of Traumatic Aortic Regurgitation

DOI
  • Okuma Shinnosuke
    Department of Cardiovascular surgery, Saiseikai Yokohamashi Tobu Hospital
  • Misumi Takahiko
    Department of Cardiovascular surgery, Saiseikai Yokohamashi Tobu Hospital
  • Itou Tsutomu
    Department of Cardiovascular surgery, Saiseikai Yokohamashi Tobu Hospital
  • Yoshitake Akihiro
    Department of Cardiovascular surgery, Saiseikai Yokohamashi Tobu Hospital
  • Ishida Osamu
    Department of Cardiovascular surgery, Saiseikai Yokohamashi Tobu Hospital
  • Hirano Akinori
    Department of Cardiovascular surgery, Saiseikai Yokohamashi Tobu Hospital

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Other Title
  • 外傷性大動脈弁閉鎖不全症に対して Bentall 型手術を施行した1例

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Abstract

Case reports of traumatic aortic regurgitation are rare. We report a case of a 62-year-old man injured by falling from a paraglider. After recovering from multiple injuries and discharge, he began to suffer from dyspnea. Severe aortic regurgitation and pseudoaneurysm of the sinus of Valsalva were diagnosed by ultrasound cardio graphy (UCG) and multi-detector-row computer tomography (MDCT). After cardiac failure was controlled, we operated. The commissure between the left and the right coronary cusps was detached from the aortic wall, and a modified Bentall operation was performed. The patient recovered well and was discharged uneventfully.

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