Isolated Perforation of Left Coronary Cusp after Blunt Chest Trauma

Left coronary cusp perforation is an extremely rare consequence of blunt chest trauma. A 22-year-old male presented after a motor vehicle accident with dyspnea. Transthoracic echocardiogram (TTE) and transesophageal echocardiogram (TEE) showed moderate to severe aortic regurgitation with prolapsing...

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Main Authors: Rohit Maini, Razvan T. Dadu, Daniel Addison, Luke Cunningham, Ihab Hamzeh, Matthew Wall, Nasser Lakkis, Rashed Tabbaa
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2015/235629
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author Rohit Maini
Razvan T. Dadu
Daniel Addison
Luke Cunningham
Ihab Hamzeh
Matthew Wall
Nasser Lakkis
Rashed Tabbaa
author_facet Rohit Maini
Razvan T. Dadu
Daniel Addison
Luke Cunningham
Ihab Hamzeh
Matthew Wall
Nasser Lakkis
Rashed Tabbaa
author_sort Rohit Maini
collection DOAJ
description Left coronary cusp perforation is an extremely rare consequence of blunt chest trauma. A 22-year-old male presented after a motor vehicle accident with dyspnea. Transthoracic echocardiogram (TTE) and transesophageal echocardiogram (TEE) showed moderate to severe aortic regurgitation with prolapsing right coronary cusp. In the operating room he was found to have a left coronary cusp tear near the annulus and an enlarged right cusp. The patient recovered well after successful aortic valve replacement with a mechanical valve. Traumatic aortic regurgitation with left cusp perforation is serious and surgical intervention may be lifesaving if performed timely.
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publishDate 2015-01-01
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series Case Reports in Cardiology
spelling doaj-art-fb20a67f3c4e4ffba64e45545eb7aed02025-02-03T01:31:36ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/235629235629Isolated Perforation of Left Coronary Cusp after Blunt Chest TraumaRohit Maini0Razvan T. Dadu1Daniel Addison2Luke Cunningham3Ihab Hamzeh4Matthew Wall5Nasser Lakkis6Rashed Tabbaa7Department of Internal Medicine, Baylor College of Medicine, USASection of Cardiology, Baylor College of Medicine, USASection of Cardiology, Baylor College of Medicine, USASection of Cardiology, Baylor College of Medicine, USASection of Cardiology, Baylor College of Medicine, USADepartment of Cardiothoracic Surgery, Baylor College of Medicine, USASection of Cardiology, Baylor College of Medicine, USASection of Cardiology, Baylor College of Medicine, USALeft coronary cusp perforation is an extremely rare consequence of blunt chest trauma. A 22-year-old male presented after a motor vehicle accident with dyspnea. Transthoracic echocardiogram (TTE) and transesophageal echocardiogram (TEE) showed moderate to severe aortic regurgitation with prolapsing right coronary cusp. In the operating room he was found to have a left coronary cusp tear near the annulus and an enlarged right cusp. The patient recovered well after successful aortic valve replacement with a mechanical valve. Traumatic aortic regurgitation with left cusp perforation is serious and surgical intervention may be lifesaving if performed timely.http://dx.doi.org/10.1155/2015/235629
spellingShingle Rohit Maini
Razvan T. Dadu
Daniel Addison
Luke Cunningham
Ihab Hamzeh
Matthew Wall
Nasser Lakkis
Rashed Tabbaa
Isolated Perforation of Left Coronary Cusp after Blunt Chest Trauma
Case Reports in Cardiology
title Isolated Perforation of Left Coronary Cusp after Blunt Chest Trauma
title_full Isolated Perforation of Left Coronary Cusp after Blunt Chest Trauma
title_fullStr Isolated Perforation of Left Coronary Cusp after Blunt Chest Trauma
title_full_unstemmed Isolated Perforation of Left Coronary Cusp after Blunt Chest Trauma
title_short Isolated Perforation of Left Coronary Cusp after Blunt Chest Trauma
title_sort isolated perforation of left coronary cusp after blunt chest trauma
url http://dx.doi.org/10.1155/2015/235629
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