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Ann Thorac Surg 1995;60:1098-1100
© 1995 The Society of Thoracic Surgeons

Articles

Valvuloplasty in traumatic aortic insufficiency due to subtotal tear of the intima

MD Albert Miralles*, MD Teresa Farinola, MD Jose Quiroga, MD Chuks Obi, MD Jairo Hernandez, MD Jorge Granados, MD Carles Fontanillas, MD Emili Saura, MD Miguel Benito, MD Josep Maria Calbet, MD Eduard Castells

Department of Cardiac Surgery, Ciutat Sanitaria i Universitaria de Bellvitge, Hospital Princeps d'Espanya, Barcelona, Spain

Accepted for publication March 23, 1995.

* Address reprint requests to Dr Miralles, Department of Cardiac Surgery, Ciutal Sanitaria i Universitaria de Bellvitge, Hospital Princeps d'Espanya Feixa Llarga s/n, 08907 L'Hospitalet de Hobregat, Barcelona, Spain

Aortic regurgitation is one of the usual pathologic findings necessitating valve replacement in cardiac surgery. Several diseases may result in leaflet incompetence. Circumferential intimal tear of the aortic root with prolapse of the aortic valve commissures is a rare cause of aortic incompetence. We report the repair of the aortic wall and valve in 1 patient with such a tear 6 months after an important thoracic trauma. Three months after the aortic valve reconstruction the patient is in good condition and fully asymptomatic.




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