66 / 74
CARDIOVASCULAR JOURNAL OF AFRICA • Volume 25, No 5, September/October 2014
e8
AFRICA
physician can easily misdiagnose traumatic aortic valve injury,
close attention should be paid to patients with blunt chest
trauma in clinical settings. In addition, when aortic injuries are
detected, thorough examination is needed so as not to miss other
possible aortic lesions.
Conclusion
Recently, the hybrid approach as a treatment modality, using
surgical and interventional procedures, has been increasing
widespread. We decided to use the staged hybrid treatment
without re-admission to address this rare and urgent situation.
The staged hybrid procedure was a safe, less-invasive and cost-
effective treatment for our patient.
References
1.
Neschis DG, Scalea TM, Flinn WR, Griffith BP. Blunt aortic injury.
N
Engl J Med
2008;
359
: 1708–1716.
2.
Obadia JF, Tatou E, David M. Aortic valve regurgitation caused by
blunt chest injury.
Br Heart J
1995;
74
: 545–547.
3.
Symbas PJ, Horsley WS, Symbas PN. Rupture of the ascending aorta
caused by blunt trauma.
Ann Thorac Surg
1998;
66
: 113–117.
4.
O’Connor JV, Byrne C, Scalea TM, Griffith BP, Neschis DG. Vascular
injuries after blunt chest trauma: diagnosis and management.
Scand J
Trauma Resusc Emerg Med
2009;
17
: 42.
5.
Taguchi S, Ueda T, Inoue Y, Kashima I, Koizumi K. Traumatic aortic
regurgitation caused by a detached commissure.
Gen Thorac Cardiovasc
Surg
2007;
55
: 32–34.
6.
Li W, Ni Y, Chen X, Ma L. Aortic valve tear with severe aortic regur-
gitation following blunt chest trauma.
J Cardiothorac Surg
2011;
6
: 84.
7.
Dosios TJ, Salemis N, Angouras D, Nonas E. Blunt and penetrating
trauma of the thoracic aorta and aortic arch branches: an autopsy study.
J Trauma
2000; 49: 696–703.
8.
Sevitt S. The mechanisms of traumatic rupture of the thoracic aorta.
Br
J Surg
1977;
64
: 166–173.