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. 2022 Nov 2;4(21):1432-1434.
doi: 10.1016/j.jaccas.2022.07.018.

Acute Post-Traumatic Aortic Regurgitation

Daniel de Castro  1 , Alejandro Rasines-Rodríguez  2 , Ana Usano  2 , Susana Mingo  1
Affiliations

Acute Post-Traumatic Aortic Regurgitation

Daniel de Castro et al. JACC Case Rep. .

Abstract

A 16-year-old girl with a history of blunt chest trauma was admitted because of heart failure symptoms. Transthoracic echocardiography showed severe eccentric aortic regurgitation. Cardiac computed tomography revealed a pseudoaneurysm of the right sinus of Valsalva. We present a rare clinical presentation of a life-threatening condition. (Level of Difficulty: Intermediate.).

Keywords: RCC, right coronary cusp; TTE, transthoracic echocardiography; aorta; aortic valve; chronic heart failure; computed tomography; echocardiography.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Imaging of Acute Post-Traumatic Aortic Regurgitation (A) Echocardiographic parasternal long-axis view displaying severe eccentric aortic regurgitation through the right aortic cusp (vena contracta width, 0.6 cm). (B) Pulsed-wave Doppler imaging in the descending aorta showing severe diastolic flow reversal. (C) Echocardiographic parasternal short-axis view exhibiting a left-to-right shunt from the aortic root to the right ventricle. (D) Iodinated contrast material in the right ventricle during the arterial phase in the sagittal oblique short-axis view on cardiac computed tomography (white arrow). (E) Iodinated contrast material in the right ventricle during the arterial phase in the coronary oblique view on cardiac computed tomography (white arrow). (F) Superior and lateral view of the sinus of Valsalva pseudoaneurysm (white arrowhead) on 3-dimensional volume-rendered cardiac computed tomography.
See this image and copyright information in PMC

References

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