Hip fracture-dislocation (Pipkin type IV) associated with an apparent traumatic aortic valve rupture. Case history

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Date

2001

Authors

Gögüş, A.
Akpinar, S.
Unal, M.
Sönmez, B.
Hamzaoglu, A.

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Abstract

Traumatic aortic valve rupture with resultant aortic insufficiency is a rare complication of blunt trauma. Here reported is a case with a posterior fracture-dislocation of the hip (Pipkin type-IV) and an undisplaced sternum fracture who developed hemodynamic instability in the clinical follow-up and was diagnosed having a traumatic aortic valve rupture using echocardiography. He first was treated with a biological valve replacement. Two weeks later a total hip arthroplasty combined with the osteosynthesis of the posterior wall of the acetabulum was performed. Sternum fracture healed conservatively. In multiply injured patients especially with a blunt thorax trauma hemodynamic instability despite appropriate fluid replacement should rise the suspicion of cardiac injuries, especially traumatic aortic valve rupture. Echocardiography is a simple but reliable method for the diagnosis.

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Keywords

aged, aorta valve, aorta valve regurgitation, article, bioprosthesis, blunt trauma, case report, echography, heart valve prosthesis, hip arthroplasty, hip dislocation, hip fracture, human, injury, male, osteosynthesis, rupture, sternum, transesophageal echocardiography, Aged, Aortic Valve, Aortic Valve Insufficiency, Arthroplasty, Replacement, Hip, Bioprosthesis, Echocardiography, Transesophageal, Fracture Fixation, Internal, Heart Valve Prosthesis, Hip Dislocation, Hip Fractures, Humans, Male, Rupture, Sternum, Wounds, Nonpenetrating

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Citation

3

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N/A

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N/A

Source

Ulusal travma dergisi = Turkish journal of trauma & emergency surgery : TJTES

Volume

7

Issue

1

Start Page

66

End Page

69