Rupture of the ascending aorta caused by blunt trauma

Acute Valvular Regurgitation

“…Blunt chest trauma resulting in aortic valve regurgitation is most often a result of loss of commissural suspension, leaflet perforation, or dissection. 30 As with other causes of acute aortic regurgitation, surgical therapy is tailored to the intraoperative anatomy.…”

Surgical Management of the Aortic Root

“…[55] Patients with root injuries often have other major injuries requiring management prior to the root and aorta. [56] When surgical repair is indicated it is frequently for contained rupture of the aortic wall. Because the injury is often distal to the sinotubular junction, surgical fixation is feasible.…”

Traumatic ascending aortic transection in a patient with a subdural haematoma: timing of surgery

“…The injury is located in the ascending aorta in only 3% of the survivors. [3][4][5][6] Most patients have associated injuries, sometimes with a higher treatment priority than the aortic injury. These injuries also increase the risk of aortic surgery.…”

“…[8][9][10] A strict hypotensive regimen is obligatory with β-blockers and vasodilators to control systolic blood pressure and heart rate. 4 In cases with head injury where neurological monitoring is not possible, intracranial pressure monitoring is needed to control cerebral perfusion pressure. Intensive radiological follow-up is recommended with chest X-rays and CT-scans.…”