Isolated traumatic aortic valvular insufficiency with rapid pulmonary deterioration. Report of two cases.

Blunt trauma followed by aortic valvular insufficiency occurs rarely. Valve replacement or repair has most often taken place several months or years after injury; only a few cases have been reported of acute operative intervention performed within a few days after injury. However, we herein report two cases of isolated aortic valvular trauma in young men, in whom fulminant pulmonary edema ensued so rapidly that urgent aortic valve replacement was necessitated within hours after injury.