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Traumatic aortic root rupture leading to acute aortic regurgitation and acute type A aortic dissection
Author(s) -
Nepal Subash,
Raj Vijay,
Chaudhuri Debanik,
Barreto Stephany
Publication year - 2021
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.15091
Subject(s) - medicine , aortic dissection , bentall procedure , ascending aorta , regurgitation (circulation) , cardiology , thoracic aorta , aortic valve , aortic valve regurgitation , aortic rupture , aorta , surgery , radiology , aortic aneurysm
A 17‐year‐old male sustained a blunt thoracic trauma after he had a dirt bike accident. He was admitted for the management of multiple fractures, was hemodynamically stable, and presented without any cardiac symptoms. The patient underwent transthoracic echocardiography and CT angiogram of the thorax as the workup of possible cardiac injury as he had a new aortic regurgitation murmur, troponin rise, and a new RBBB. Imaging showed aortic root rupture, type A aortic dissection involving aortic root and proximal ascending aorta, and acute severe aortic regurgitation, not typically seen with blunt thoracic trauma. The patient was immediately taken to the operating room, underwent a surgical aortic valve and root replacement with the Bentall procedure, and had a good outcome.