Traumatic Aortic Valve Rupture
After a head-on motor vehicle collision, a 19-year-old woman was admitted to our hospital with severe blunt chest trauma, bilateral pneumothorax, and a closed head injury with an initial Glasgow Coma Scale of 3. After stabilization, a diastolic murmur was heard. Transthoracic echocardiography showed moderate aortic valve regurgitation (AR). She was treated for her closed head injury and made a remarkable recovery. Follow-up transesophageal echocardiography (TEE) showed severe AR caused by rupture of the acoronary cusp, a rare entity after blunt chest trauma (Figures 1 and 2⇓ and Movies I and II). Three months later, she was operated on (see Figure 3). The cusp was reconstructed with a small pericardial patch (Figure 4). On postoperative TEE, the aortic valve cusp showed full mobility and only trace AR (Figure 5 and Movies III and IV). She had an uneventful recovery and remains well 1 year after surgery.
The Data Supplement, which contains 4 movies, is available at http://circ.ahajournals.org/cgi/content/full/112/9/e118/DC1.