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Atsuhiko Onaka1, Kenji Nakai1, Yoshiki Toma1, Tatsuya Nakamura1 Hiroshi Sakae1, Hisayuki Tabuse1 and Shigeaki Ootake2 1 Osaka Prefectural Nakakawachi Medical Center of Acute Medicine 2 Department of Cardiovascular Surgery, Osaka University School of Medicine Aortic valve injury with atrial alve injury with atrial septal rupture confirmed by transesophageal echocardiogram. The patient was treated successfully with a prosthetic valve replacement and direct suture of septal defect on postinjury day 5. The postoperative course was uneventful except. The decision to undertake surgical treatment should be made carefully in each case with special consideration to cardiac decompensation and the risk of heparinization. (JJAAM 2001; 12: 302-7)

Traumatic Aortic Valve Injury with Artial Septal Rupture Due to Blunt Chest Tramuma.