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Asymptomatic Chronic Traumatic Aortic Valve Perforation with Severe Aortic Regurgitation
  • +5
  • Neeta Bachani,
  • Avishek BagchiOrcid,
  • Kunal Sinkar,
  • Jaipal Jadwani,
  • Bhavik Dhirawani,
  • Harshad Shah,
  • Sanjeev Vichare,
  • Brian Pinto
Neeta Bachani
Holy Family Hospital
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Avishek Bagchi
Orcid
Holy Family Hospital
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Kunal Sinkar
Holy Family Hospital
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Jaipal Jadwani
Holy Family Hospital
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Bhavik Dhirawani
Holy Family Hospial
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Harshad Shah
Holy Family Hospital
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Sanjeev Vichare
Holy Family Hospital
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Brian Pinto
Holy Family Hospital
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Peer review status:ACCEPTED

12 Apr 2020Submitted to Echocardiography
14 Apr 2020Submission Checks Completed
14 Apr 2020Assigned to Editor
16 Apr 2020Reviewer(s) Assigned
14 May 2020Review(s) Completed, Editorial Evaluation Pending
19 May 2020Editorial Decision: Revise Major
20 May 20201st Revision Received
20 May 2020Submission Checks Completed
20 May 2020Assigned to Editor
20 May 2020Reviewer(s) Assigned
20 May 2020Review(s) Completed, Editorial Evaluation Pending
22 May 2020Editorial Decision: Accept

Abstract

Here we present a young asymptomatic male incidentally diagnosed to have aortic regurgitation (AR). The patient had a history of a blunt trauma to the thorax two years back but did never have any symptoms. Transthoracic echocardiography showed a moderately dilated left ventricle with normal systolic function and severe AR with normal nondilated aortic root and tri-leaflet aortic valve. To diagnose the etiology of the AR a trans-esophageal echocardiogram (TEE) was done, which revealed a perforation in the non-adjacent leaflet (NAL) and confirmed severe AR with two AR jets being clearly visualised, one through the point of incomplete coaptation and other one through the perforated area in the NAL. The patient was treated with aortic valve replacement and was doing well on follow-up.