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Francesco Onorati
Luca Salvatore De Santo
Antonio Carozza
Marisa De Feo
Attilio Renzulli
Maurizio Cotrufo
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Ann Thorac Surg 2004;77:2192-2194
© 2004 The Society of Thoracic Surgeons

Case report

Marfan syndrome as a predisposing factor for traumatic aortic insufficiency

Francesco Onorati, MDa, Luca Salvatore De Santo, MDa, Antonio Carozza, MDa, Marisa De Feo, MDa, Attilio Renzulli, MD, FECTSb*, Maurizio Cotrufo, FECTSa

a Dipartimento di Scienze Cardiotoraciche e Respiratorie, V. Monaldi Hospital, Seconda Università di Napoli, Naples, Italy
b U. O. Cardiochirurgia Università Magna Graecia of Catanzaro, Catanzaro, Italy

Accepted for publication June 6, 2003.

* Address reprint requests to Dr Renzulli, Via Aquila, 144, 80100 Naples, Italy
e-mail: arenzul{at}tin.it

Despite the increase in car accidents, aortic valve injury from blunt trauma remains rare. In one case, a 30-year-old Marfan male, who was under observation at our outpatient clinic, suffered from aortic regurgitation due to a tear in the left coronary cusp of a previously echocardiographically normal valve. Acute ventricular failure demanded surgical management within 3 days after an automobile accident. The case was successfully treated by replacement of the aortic valve with a no. 23 Sorin Bicarbon prosthesis. The patient fully recovered and experienced an uneventful 6 months of follow-up.






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