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Traumatic aortic root rupture leading to acute aortic insufficiency and acute Type A aortic dissection.
  • +1
  • Subash Nepal,
  • Vijay Raj,
  • Debanik Chaudhuri,
  • Stephany Barreto
Subash Nepal
SUNY Upstate Medical University
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Vijay Raj
SUNY Upstate Medical University
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Debanik Chaudhuri
State University of New York Upstate Medical University - University Hospital
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Stephany Barreto
SUNY Upstate Medical University
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Abstract

A 17-year-old male was admitted for the management of multiple fractures after sustaining blunt thoracic trauma. He was hemodynamically stable and without any cardiac symptoms. He was admitted with fracture of T4 end plate, manubrium and left first rib, right pulmonary contusion, left apical pneumothorax and pneumomediastinum. The patient underwent echocardiography and cardiac CT angiogram for the work up of aortic injury as the patient had new aortic regurgitation murmur, troponin rise and RBBB. He was found to have aortic root rupture, type A aortic dissection and acute severe aortic insufficiency. The patient underwent surgical aortic valve and root replacement with Bentall procedure with good outcome.

Peer review status:ACCEPTED

25 Oct 2020Submitted to Echocardiography
08 Dec 2020Submission Checks Completed
08 Dec 2020Assigned to Editor
12 Jan 2021Reviewer(s) Assigned
17 Jan 2021Review(s) Completed, Editorial Evaluation Pending
26 Jan 2021Editorial Decision: Revise Major
30 Jan 20211st Revision Received
02 Feb 2021Submission Checks Completed
02 Feb 2021Assigned to Editor
02 Feb 2021Reviewer(s) Assigned
06 Feb 2021Review(s) Completed, Editorial Evaluation Pending
11 Feb 2021Editorial Decision: Revise Minor
20 Feb 20212nd Revision Received
20 Feb 2021Submission Checks Completed
20 Feb 2021Assigned to Editor
20 Feb 2021Reviewer(s) Assigned
28 Feb 2021Review(s) Completed, Editorial Evaluation Pending
05 Mar 2021Editorial Decision: Revise Minor
12 Mar 20213rd Revision Received
13 Mar 2021Assigned to Editor
13 Mar 2021Submission Checks Completed
13 Mar 2021Reviewer(s) Assigned
23 Mar 2021Review(s) Completed, Editorial Evaluation Pending
29 Mar 2021Editorial Decision: Revise Minor
04 Apr 20214th Revision Received
07 Apr 2021Submission Checks Completed
07 Apr 2021Assigned to Editor
08 Apr 2021Reviewer(s) Assigned
11 Apr 2021Review(s) Completed, Editorial Evaluation Pending
13 Apr 2021Editorial Decision: Revise Minor
14 Apr 20215th Revision Received
15 Apr 2021Submission Checks Completed
15 Apr 2021Assigned to Editor
15 Apr 2021Reviewer(s) Assigned
19 Apr 2021Review(s) Completed, Editorial Evaluation Pending
21 Apr 2021Editorial Decision: Revise Minor
26 Apr 20216th Revision Received
26 Apr 2021Assigned to Editor
26 Apr 2021Submission Checks Completed
28 Apr 2021Reviewer(s) Assigned
01 May 2021Review(s) Completed, Editorial Evaluation Pending
03 May 2021Editorial Decision: Accept