Dehiscence of a Valved Conduit in the Ascending Aorta following Low-Velocity Blunt Chest Trauma: Case Report

Authors

  • B. Meuris
  • W. Daenen
  • W. Flameng

DOI:

https://doi.org/10.1532/HSF98.20041157

Abstract

We report a case of a 56-year old man presenting with dehiscence of a valved conduit in the ascending aorta following low-velocity blunt thoracic trauma. The patient had a history of a Bentall procedure in 1994. Two weeks before referral to our hospital, the patient fell during a bicycle ride and hit the handlebars of the bicycle with his chest. During the days following the accident, the patient developed progressively worsening fatigue, shortness of breath, and intolerance for even minor physical effort. The presence of an enlarged ascending aorta surrounding the implanted valved graft was confirmed, and the patient was referred to our department for surgical repair, after which the patient had an uneventful recovery and was discharged home on postoperative day 12.

References

Answini GA, Sturdevant ML, Sing RF, Jacobs DG. 2001. Blunt traumatic rupture of the thoracic aorta: a report of an unusual mechanism of injury. Am J Emerg Med 19:579-82.nRichens D, Field M, Neale M, Oakley C. 2002. The mechanism of injury in blunt traumatic rupture of the aorta. Eur J Cardiothorac Surg 21:288-93.nCharles KP, Davidson KG, Miller H, et al. 1977. Traumatic rupture of the ascending aorta and aortic valve following blunt chest trauma. J Thorac Cardiovasc Surg 73:209-11.nRichens D, Kotidis K, Neale M, Oakley C, Fails A. 2003. Rupture of the aorta following road traffic accidents in the United Kingdom 1992-1999. Eur J Cardiothorac Surg 23:143-8.nSymbas PJ, Stewart Horsley W, Symbas PN. 1998. Rupture of the ascending aorta by blunt trauma. Ann Thorac Surg 66:113-7.nTrachiotis GD, Sell JE, Pearson GD, Martin GR, Midgley FM. 1996. Traumatic thoracic aortic rupture in the pediatric patient. Ann Thorac Surg 62:724-31.nUrsell PC, Griffiths SP, Bowman FO Jr. 1998. Traumatic rupture of extracardiac valved conduit: unusual late complication producing outflow tract obstruction. Ann Thorac Surg 46:351-2.nMimasaka S, Yajima Y, Hashiyada M, Nata M, Oba M, Funayama M. 2003. A case of aortic dissection by blunt chest trauma. Forensic Sci Int 132:5-8.n

Published

2005-03-09

How to Cite

Meuris, B., Daenen, W., & Flameng, W. (2005). Dehiscence of a Valved Conduit in the Ascending Aorta following Low-Velocity Blunt Chest Trauma: Case Report. The Heart Surgery Forum, 8(2), E79-E81. https://doi.org/10.1532/HSF98.20041157

Issue

Section

Articles