Isolated Perforation of Left Coronary Cusp After Blunt Chest Trauma

Maini, Rohit; Dadu, Razvan T.; Cunningham, Luke; Hamzeh, Ihab; Tsai, Peter I.; Wall, Matthew J.; Lakkis, Nasser; Tabbaa, Rashed

doi:10.1016/s0735-1097(15)60722-7

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…The causes were automobile accidents in 49 instances, motorcycle accidents in 18, falls in 12, falling objects in 6, sports injuries in 4, and other causes in 7. The time from the index incident to the diagnosis of traumatic AR ranged from immediately to 10 years or longer: 34 cases were diagnosed within 3 days, 2-34 20 within 1 month, 1,[35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54] 12 within 3 months, 45,55-64 5 within 6 months, 1,65-68 4 within 1 year, 32,69-71 2 within 2 years, 72,73 2 within 3 years, 74,75 5 in over 5 years, 65,[76][77][78] and 12 after an unspecified duration. [79][80][81][82][83][84][85][86][87][88] Early diagnoses (within 3 d) were 35% of the total; in the other patients, AR apparently progressed slowly.…”

Section: Case Reportmentioning

confidence: 99%

Long-Term Survival on Medical Therapy Alone after Blunt-Trauma Aortic Regurgitation: Report of a New Case with Summary of 95 Others

Tsugu

Murata

Mahara

et al. 2016

Texas Heart Institute Journal

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Aortic regurgitation resulting from blunt chest trauma has been reported only 95 times, to our knowledge. The noncoronary and right coronary cusps are the cardiac structures most often injured. Although the aortic leaflets can appear to be undamaged after nonpenetrating trauma, they can have pathologic abnormalities and insufficient function. Some cases of posttraumatic aortic regurgitation progress slowly. Aortic valve replacement is the optimal treatment. We present the case of a then-62-year-old man who has lived more than 5 years after blunt-trauma aortic regurgitation. His is the only case of long-term survival on medical therapy alone among the 96 cases summarized in this report.

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Section: Case Reportmentioning

confidence: 99%

Long-Term Survival on Medical Therapy Alone after Blunt-Trauma Aortic Regurgitation: Report of a New Case with Summary of 95 Others

Tsugu

Murata

Mahara

et al. 2016

Texas Heart Institute Journal

View full text Add to dashboard Cite

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“…Th e noncoronary cusp is the most commonly aff ected (3). Th e acute regurgitant fl ow causes a marked increase in left ventricular end diastolic pressure, which reduces the coronary perfusion gradient, resulting in diff use myocardial ischemia.…”

mentioning

confidence: 99%