Volume 14
Number 3
Aug 2010
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Case Reports
G van der  Wal, AFTM Verhagen, JG van der Hoeven

This case report describes a patient who developed symptoms of dyspnoea early after a high velocity car accident. Her symptoms were progressive and 25 days after the trauma massive aortic insufficiency was diagnosed. Operation showed a tear in the commissure between the right and the non-coronary cusps with a tear in the intima. Uncomplicated aortic valve replacement followed. Traumatic aortic insufficiency is a rare and sometimes difficult diagnosis to make. Clinical presentation, pathophysiology, diagnosis and treatment are described.

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