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  • Title: [Hip fracture-dislocation (Pipkin type IV) associated with an apparent traumatic aortic valve rupture. Case history].
    Author: Göğüş A, Akpinar S, Unal M, Sönmez B, Hamzaoğlu A.
    Journal: Ulus Travma Derg; 2001 Jan; 7(1):66-9. PubMed ID: 11705178.
    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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