Aortic Rupture and Concomitant Transection of the Left Bronchus After Blunt Chest Trauma

Pašić, Miralem; Ewert, Ralf; Engel, Marcus; Franz, Norbert; Bergs, Peter; Kuppe, Hermann; Hetzer, Roland

doi:10.1378/chest.117.5.1508

Cited by 16 publications

(13 citation statements)

References 5 publications

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“…The true incidence of tracheobronchial injury is hard to establish, as a long proportion (30 to 80%) will die before reaching the hospital [3]. Left-sided injuries occur less frequently compared to right-sided ones, probably due to the length of left mainstem bronchus [4][5][6][7][8][9][10][11][12][13] (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…After blunt chest trauma early diagnosis of possible associated vascular, tracheobronchial and esophageal injuries should be performed because all these lesions may be caused by the same mechanism [9,10,17]. Computed tomography gives information about the lung, the great vessels, the heart and the diaphragm.…”

Section: Discussionmentioning

confidence: 99%

“…Computed tomography gives information about the lung, the great vessels, the heart and the diaphragm. As the causes of bronchial, aortic and esophagus rupture are similar, one may suggest that patients with traumatic bronchial injury routinely should undergo screening to exclude concomitant lesions of the aorta and esophagus, regardless of the presence or absence of specific symptomatology [9,10].…”

Section: Discussionmentioning

confidence: 99%

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Isolated Complete Rupture of Left Main Bronchus after Blunt Chest Trauma

N¹

2013

Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Isolated Complete Rupture of Left Main Bronchus after Blunt Chest Trauma

N¹

2013

Emergency Medicine

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“…Both failure criteria clearly show that the zones with higher risk levels are situated at the root of the three aortic arch bifurcations and at the vicinity of the ligamentum arteriosum. From the clinical point of view, the most important zone is that located near the ligamentum arteriosum due the high stress concentration that takes place there [11,15,34,70,81,88]. The stress level in this area is more critical than those developed at the junctions where arteries branch off from the aortic arch.…”

Section: Aortic Archmentioning

confidence: 99%

Mechanical Characterization of the Human Aorta: Experiments, Modeling and Simulation

García‐Herrera

Celentano

Cruchaga

et al. 2016

Computational Modeling, Optimization and Manufacturing Simulation of Advanced Engineering Materials

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This chapter presents an overview of recent works aimed at characterizing the mechanical behaviour of the human aorta via experiments, modeling and simulation. The application of these techniques are in particular detailed in the analysis of the following cases: ascending aorta, aortic arch and thoracic descending aorta under in-vitro and in-vivo conditions. The experimental procedure encompasses uniaxial tension and pressurization tests on healthy and pathological tissues of different ages. The tensile measurements are used to calibrate the material parameters of isotropic or anisotropic quasi-static elastic constitutive models which are intended to predict the material response in a wide deformation range. Although this task is usually carried out analytically, numerical simulations (using a discretized formulation defined in the context of the finite element method) are also performed for problems in which more complex geometry, boundary conditions and loads are considered. Overall, the reported material characterization was found to provide a realistic description of the mechanical behaviour of the aorta subjected to various deformation and stress scenarios. Finally, the implication of these studies is the possibility to predict the mechanical response of the human aorta under generalized loading states like those that can occur in physiological conditions and/or in medical device applications.

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“…Upon impact, the transverse and descending aorta decelerate with the chest, whereas the interposing segment continues to move forward which causes the injury. Inju- ries may range in severity from focal intimal disruption, partial rupture that involves the intima and media, to transection involving full-thickness aortic injury, which may be partial or circumferential [11,12].…”

Section: Traumatic Pseudoaneurysm In Blunt Chest Injurymentioning

confidence: 99%