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European Journal of Echocardiography 2006 7(2):109-111; doi:10.1016/j.euje.2005.08.001
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Copyright © 2005, The European Society of Cardiology

Acute traumatic disruption of a bicuspid aortic valve

Monica Anselmino*, Anna Andria and Paola Lusardi

ASL 4, Ospedale Giovanni Bosco, Divisione di Cardiologia, Piazza Donatore di sangue 3, 10100 Torino, Italy

Received 26 May 2005; received in revised form 23 July 2005; accepted after revision 3 August 2005.

* Corresponding author. Tel.: +39 0112402261; fax: +39 0112402375. monica.anselmino{at}fastwebnet.it


  Abstract

Cardiac involvement is frequent in patients with blunt chest trauma and multiple injuries. Different cardiac structures can be involved, but isolated aortic valve rupture is rare. We report the case of a man admitted to our hospital with multiple injuries as a result of a car crash. Transthoracic, followed by transesophageal echocardiography, revealed disruption of a large anterior bi-coronary cusp in a bicuspid valve with severe aortic regurgitation, without lesions or abnormalities of thoracic aorta.

Aggressive pharmacological management consented to delay valve replacement to obtain resolution of concomitant pulmonary injuries.

Keywords: Aortic valve; Bicuspid valve; Traumatic rupture


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