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Ann Thorac Surg 2000;70:1692-1694
© 2000 The Society of Thoracic Surgeons
a Department of Cardiac Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
b Department of Cardiology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Address reprint requests to Dr Aris, Cardiac Surgery Service, Hospital de la Santa Creu i Sant Pau, San AM Claret 167, 08025 Barcelona, Spain
e-mail: aaris{at}hsp.santpau.es
Closed chest trauma can cause rupture of intracardiac structures. We report the case of a 17-year-old boy whose chest was trodden by a horse. He sustained rupture of tricuspid and aortic valve leaflets and rupture of the interventricular septum. He underwent surgical repair of these lesions, but aortic insufficiency developed 2 years later and the aortic valve was replaced with a mechanical prosthesis.
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