Case Report: Lessons Learned From Aortic Valve Rupture After Blunt Chest Trauma
Open Access
- 14 May 2021
- journal article
- research article
- Published by Frontiers Media SA in Frontiers in Pediatrics
Abstract
Aortic valve rupture (AVR) due to blunt chest trauma is extremely rare in the pediatric population, and little attention has been paid to such damages. Early diagnosis of AVR may not be easy in patients with multiple competing injuries and poor acoustic windows. We report a case of delayed diagnosis of AVR in a 12-year-old boy after falling from a height of 15 meters, who presented with recurrent hemoptysis and ventilator dependence. This rare case highlights the importance of performing transesophageal echocardiography in trauma patients when the images of transthoracic echocardiography are suboptimal, especially for those presenting with signs and symptoms suggestive of heart failure. The overall prognosis of aortic valve replacement is good.This publication has 19 references indexed in Scilit:
- Aortic valve injury following blunt chest traumaResearch in Cardiovascular Medicine, 2014
- Traumatic aortic injuries in the pediatric populationJournal of Pediatric Surgery, 2008
- Traumatic aortic and mitral valve injury following blunt chest injury with a variable clinical courseHeart, 2005
- Blunt thoracic trauma in children: review of 137 casesEuropean Journal of Cardio-Thoracic Surgery, 2004
- Safe and Delayed Repair in Acute Aortic Traumatic Insufficiency Based on Echocardiographic CriteriaThe Journal of Trauma and Acute Care Surgery, 2004
- Surgical treatment of traumatic rupture of the normal aortic valveEuropean Journal of Cardio-Thoracic Surgery, 1997
- Chest injuries in children: An analysis of 100 cases of blunt chest trauma from motor vehicle accidentsJournal of Pediatric Surgery, 1992
- Case 3-1976The New England Journal of Medicine, 1976
- Nonpenetrating Traumatic Injury of the HeartJournal of the American College of Cardiology, 1958
- Rupture of the Aortic ValveThe New England Journal of Medicine, 1955