Silent severe aortic regurgitation due to blunt chest trauma: ignore it at your peril-a case report.

ABSTRACT:

Background

Blunt chest trauma (BCT) presenting to the emergency department is common and may cause life-threatening cardiac complications. Whilst complications causing haemodynamic instability are generally detected promptly, others may present late with long-term consequences. We describe a rare, serious complication of BCT presenting five years after a road traffic accident (RTA).

Case summary

A 23-year-old man was incidentally found to have a murmur. Past history was notable only for BCT with rib fracture sustained in a RTA 5 years prior. Examination revealed a hyperdynamic pulse, loud decrescendo diastolic murmur, and Duroziez's sign over the femoral arteries. Echocardiography showed severe valvular aortic regurgitation (AR) from a hole in the left coronary cusp and holo

SUBMITTER: Markides RIL 

PROVIDER: S-EPMC11443957 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature