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Aortic Valve Regurgitation complicating Blunt Chest Trauma
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  • Enrico Bonnì,
  • Fabio Fazzari,
  • Mirko Curzi,
  • Valeria Donghi,
  • Ludovico Rossetto,
  • Egle Corrado,
  • Renato Maria Bragato,
  • Giuseppina Novo
Enrico Bonnì
University Hospital Policlinic Paolo Giaccone

Corresponding Author:[email protected]

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Fabio Fazzari
IRCCS Humanitas Research Hospital
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Mirko Curzi
IRCCS Humanitas Research Hospital
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Valeria Donghi
IRCCS Humanitas Research Hospital
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Ludovico Rossetto
University Hospital Policlinic Paolo Giaccone
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Egle Corrado
University Hospital Policlinic Paolo Giaccone
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Renato Maria Bragato
IRCCS Humanitas Research Hospital
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Giuseppina Novo
University Hospital Policlinic Paolo Giaccone
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Abstract

Aortic valve regurgitation complicating blunt chest trauma is rare. We describe a case of a 73-year-old male with history of car accident complicated by sternal fracture in 2002. In 2019 he was a candidate for liver metastasis resection complicating adenocarcinoma of the rectum but, for the finding of a holosystolic murmur, he underwent trans-esophageal echocardiography. This showed severe aortic regurgitation due to the fracture of the right coronary cusp. Heart Team decided upon the replacement of the aortic valve with biological prosthesis. Probably, the blunt chest trauma provoked an initial right cusp lesion and the regurgitation worsened over time.