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Case Reports in Cardiology
Volume 2015 (2015), Article ID 235629, 3 pages
http://dx.doi.org/10.1155/2015/235629
Case Report

Isolated Perforation of Left Coronary Cusp after Blunt Chest Trauma

1Department of Internal Medicine, Baylor College of Medicine, USA
2Section of Cardiology, Baylor College of Medicine, USA
3Department of Cardiothoracic Surgery, Baylor College of Medicine, USA

Received 28 December 2014; Accepted 12 February 2015

Academic Editor: Yoshiro Naito

Copyright © 2015 Rohit Maini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Left coronary cusp perforation is an extremely rare consequence of blunt chest trauma. A 22-year-old male presented after a motor vehicle accident with dyspnea. Transthoracic echocardiogram (TTE) and transesophageal echocardiogram (TEE) showed moderate to severe aortic regurgitation with prolapsing right coronary cusp. In the operating room he was found to have a left coronary cusp tear near the annulus and an enlarged right cusp. The patient recovered well after successful aortic valve replacement with a mechanical valve. Traumatic aortic regurgitation with left cusp perforation is serious and surgical intervention may be lifesaving if performed timely.