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An Unusual Cause of Delayed Post-traumatic Acute Aortic Insufficiency: Beef Corning

Received: 13 January 2021     Accepted: 3 February 2021     Published: 10 February 2021
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Abstract

Aortic insufficiency is a rare disease caused by direct and indirect Chest shocks. The monitoring of patients after chest trauma must be rigorous. We described the case of a 73-year-old male patient who had pulmonary acute edema and was admitted to the emergency department (ED). He had been admitted to the ED one week earlier for a closed chest trauma with brief initial loss of consciousness following a violent shock by beef corning and released after 24 hours of surveillance with a diagnosis of closed chest trauma with a fractured sternum and myocardial contusion. After rapid stabilization of pulmonary acute edema, the examination revealed a diastolic mumur in the aortic focus. Transthoracic and transoesophageal doppler echocardiography had found a massive aortic insufficiency with rupture and perforation of the antero-right sigmoid without vegetation or visualized aortic dissection image and a normal sized left ventricle with good systolic function. The aortography had confirmed massive aortic insufficiency with blood reflux in the left atrium during diastole and normal coronary artery. A thoracic angioscanner was performed formally eliminating an associated aortic impairment and vegetation. There was no biological inflammatory signs and troponin was normalized compared to her elevation at admission one week earlier. The patient was treated two weeks later with an aortic valve replacement. Postoperative evolution was simple, and he came out of the hospital a week earlier and put into functional rehabilitation.

Published in Cardiology and Cardiovascular Research (Volume 5, Issue 1)
DOI 10.11648/j.ccr.20210501.16
Page(s) 33-35
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Aortic Insufficiency, Chest Trauma, Beef Corning

References
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[2] Auffret Y, Jenvrin J, Bernicot C et al. Post-traumatic aortic insufficiency about a case. 2005. 18: 42-44.
[3] Obadia JF, Tatou E, Lon JP et al. Post-traumatic aortic deficiencies. Arch Evil Heart Vaiss 1992; 85: 211-4.
[4] Hyun SC, Suk WL, Jung SP et al. Cardiac arrest associated with aortic valve regurgitation. Am J Emerg Med 2018; 36: 345. e1-345. e3.
[5] Nishida H, Suenaga E, Ishii K. Acute aortic regurgitation following fibrous strand rupture of aortic valve successfully diagnosed by transesophageal echocardiography. Echocardiography 2018; 35: 753-4.
[6] Jausseran JM, Baille Y, Monties JR et al. Traumatic rupture of aortic sigmoids. About a case operated and reviewed of the literature. Ann Chir Thorac Cardiovasc 1972; 11: 355-9.
[7] Chi S, Blair TC, Gonzalez-Lavin L. Rupture of the normal aortic valve after blunt trauma. Thorax 1977; 32: 619-622.
[8] Beall AC, Shirkey AL. Successful correction of traumatic aortic valve regurgitation. JAMA 1964; 187: 507-10.
[9] Negre E, Chaptal PA, Simorre R et al. Traumatic aortic insufficiency. Ann Chir Thorac Cardiovasc 1972; 11: 351-4.
[10] Miyako I, Masashi A, Chisato I et al. Subacute aortic regurgitation due to traumatic tear in the aortic wall. Journal of Cardiology Cases 2018; 18: 1-4.
[11] Williams JS, Graff JA, Uku JM et al. Aortic injury in vehicular trauma. Ann Thorac Surg 1994; 57: 726-30.
[12] Neschis DG, Scalea TM, Flinn WR et al. Blunt aortic injury. N Engl J Med 2008; 359: 1708-16.
[13] Haskins CD, Shapira N, Rahman E et al. Repair of traumatic rupture of the aortic valve. Arch Surg 1992; 127: 231-2.
[14] Vayre F, Richard R, Ollivier JP. Non-penetrating traumas of the heart: pericardium, myocardium, coronary arteries, valves. In: Carli P, Gandjbakhch I, Jancovivi R, Ollivier Jp, eds. Chest sores and traumas. Rueil Malmaison: Arnette, 1997: 314-51.
[15] Meunier JP, Berkane N, Lopez S et al. Traumatic rupture of the aortic valve. Diagnosis, management and treatment. Arch Evil Heart Vaiss. 2004; 97: 613-8.
Cite This Article
  • APA Style

    Afassinou Yaovi Mignazonzon, Ondze Igor, Guis Eric, Weladji Guy, Michel Carl Thony, et al. (2021). An Unusual Cause of Delayed Post-traumatic Acute Aortic Insufficiency: Beef Corning. Cardiology and Cardiovascular Research, 5(1), 33-35. https://doi.org/10.11648/j.ccr.20210501.16

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    ACS Style

    Afassinou Yaovi Mignazonzon; Ondze Igor; Guis Eric; Weladji Guy; Michel Carl Thony, et al. An Unusual Cause of Delayed Post-traumatic Acute Aortic Insufficiency: Beef Corning. Cardiol. Cardiovasc. Res. 2021, 5(1), 33-35. doi: 10.11648/j.ccr.20210501.16

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    AMA Style

    Afassinou Yaovi Mignazonzon, Ondze Igor, Guis Eric, Weladji Guy, Michel Carl Thony, et al. An Unusual Cause of Delayed Post-traumatic Acute Aortic Insufficiency: Beef Corning. Cardiol Cardiovasc Res. 2021;5(1):33-35. doi: 10.11648/j.ccr.20210501.16

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  • @article{10.11648/j.ccr.20210501.16,
      author = {Afassinou Yaovi Mignazonzon and Ondze Igor and Guis Eric and Weladji Guy and Michel Carl Thony and Moukala Thomas and Larifla Laurent and Ancedy Yann},
      title = {An Unusual Cause of Delayed Post-traumatic Acute Aortic Insufficiency: Beef Corning},
      journal = {Cardiology and Cardiovascular Research},
      volume = {5},
      number = {1},
      pages = {33-35},
      doi = {10.11648/j.ccr.20210501.16},
      url = {https://doi.org/10.11648/j.ccr.20210501.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20210501.16},
      abstract = {Aortic insufficiency is a rare disease caused by direct and indirect Chest shocks. The monitoring of patients after chest trauma must be rigorous. We described the case of a 73-year-old male patient who had pulmonary acute edema and was admitted to the emergency department (ED). He had been admitted to the ED one week earlier for a closed chest trauma with brief initial loss of consciousness following a violent shock by beef corning and released after 24 hours of surveillance with a diagnosis of closed chest trauma with a fractured sternum and myocardial contusion. After rapid stabilization of pulmonary acute edema, the examination revealed a diastolic mumur in the aortic focus. Transthoracic and transoesophageal doppler echocardiography had found a massive aortic insufficiency with rupture and perforation of the antero-right sigmoid without vegetation or visualized aortic dissection image and a normal sized left ventricle with good systolic function. The aortography had confirmed massive aortic insufficiency with blood reflux in the left atrium during diastole and normal coronary artery. A thoracic angioscanner was performed formally eliminating an associated aortic impairment and vegetation. There was no biological inflammatory signs and troponin was normalized compared to her elevation at admission one week earlier. The patient was treated two weeks later with an aortic valve replacement. Postoperative evolution was simple, and he came out of the hospital a week earlier and put into functional rehabilitation.},
     year = {2021}
    }
    

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    T1  - An Unusual Cause of Delayed Post-traumatic Acute Aortic Insufficiency: Beef Corning
    AU  - Afassinou Yaovi Mignazonzon
    AU  - Ondze Igor
    AU  - Guis Eric
    AU  - Weladji Guy
    AU  - Michel Carl Thony
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    AU  - Larifla Laurent
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    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
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    EP  - 35
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20210501.16
    AB  - Aortic insufficiency is a rare disease caused by direct and indirect Chest shocks. The monitoring of patients after chest trauma must be rigorous. We described the case of a 73-year-old male patient who had pulmonary acute edema and was admitted to the emergency department (ED). He had been admitted to the ED one week earlier for a closed chest trauma with brief initial loss of consciousness following a violent shock by beef corning and released after 24 hours of surveillance with a diagnosis of closed chest trauma with a fractured sternum and myocardial contusion. After rapid stabilization of pulmonary acute edema, the examination revealed a diastolic mumur in the aortic focus. Transthoracic and transoesophageal doppler echocardiography had found a massive aortic insufficiency with rupture and perforation of the antero-right sigmoid without vegetation or visualized aortic dissection image and a normal sized left ventricle with good systolic function. The aortography had confirmed massive aortic insufficiency with blood reflux in the left atrium during diastole and normal coronary artery. A thoracic angioscanner was performed formally eliminating an associated aortic impairment and vegetation. There was no biological inflammatory signs and troponin was normalized compared to her elevation at admission one week earlier. The patient was treated two weeks later with an aortic valve replacement. Postoperative evolution was simple, and he came out of the hospital a week earlier and put into functional rehabilitation.
    VL  - 5
    IS  - 1
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Author Information
  • Cardiology Department, Guadeloupe Teaching Hospital, Guadeloupe, France

  • Cardiology Department, Guadeloupe Teaching Hospital, Guadeloupe, France

  • Cardiology Department, Guadeloupe Teaching Hospital, Guadeloupe, France

  • Cardiology Department, Guadeloupe Teaching Hospital, Guadeloupe, France

  • Cardiology Department, Guadeloupe Teaching Hospital, Guadeloupe, France

  • Cardiology Department, Guadeloupe Teaching Hospital, Guadeloupe, France

  • Cardiology Department, Guadeloupe Teaching Hospital, Guadeloupe, France

  • Cardiology Department, Guadeloupe Teaching Hospital, Guadeloupe, France

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