The article includes many valuable practical pointers, to which—as regards blunt thoracic trauma in addition to the well known post-traumatic aortic valve failure and aortic dissection—we would add the perspective of a possible, not immediately noticeable injury to the aortic valve (1). Existing cardiovascular depression is understandably first attributed to existing polytrauma. Auscultation is fleeting and systolic murmur is missed.
But the English language literature from Asia contains multiple publications that describe the development of aortic valve stenosis after post-traumatic valve injury. The rate of accidents involving bicycles, e-bikes, e-scooters, or motorcycles is notably higher in the relevant countries.
The development of post-traumatic aortic valve stenosis was confirmed in the mouse model in 2014 (2). It was first described by an alert doctor in a field hospital in 1918 (3). Companies providing accident insurance schemes will approve.
References
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