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.