Ascending Aortic Injuries Following Blunt Trauma

Sun, Xuegang; Hong, Jenny J.; Lowery, Robert C.; Goldstein, Steven A.; Wang, Zuyue; Lindsay, Joseph; Hill, Peter C.; Corso, Paul J.

doi:10.1111/jocs.12237

Cited by 15 publications

(12 citation statements)

References 38 publications

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“…8 Transesophageal echocardiography in our case did not reveal typi- As compared to CT, our case also supports the reported superiority of TEE for imaging the STJ and proximal asc-ao. 10 Regardless, it is imperative that any AAS pathology not be excluded by any given single imaging examination. 1,10 The initial equivocal CT findings in our case highlight the need for a second imaging modality in suspected AAS.…”

Section: Discussionmentioning

confidence: 99%

“…10 Regardless, it is imperative that any AAS pathology not be excluded by any given single imaging examination. 1,10 The initial equivocal CT findings in our case highlight the need for a second imaging modality in suspected AAS. Recent guidelines on imaging of diseases of the thoracic aorta test, as should a situation in which the first test is nondiagnostic."…”

Section: Discussionmentioning

confidence: 99%

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Atypical echocardiographic findings in traumatic aortic transection

et al. 2016

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Aortic rupture and transection are constituents of the acute aortic syndrome. Injury to the thoracic aorta during motor vehicle crashes is associated with blunt chest trauma and rapid deceleration mechanisms. Type A dissections and/or rupture of the aorta at the level of the aortic isthmus are the more common presentations of aortic injuries associated with motor vehicle crashes. We present the case of atypical echocardiographic findings of a nearly complete circumferential transection of the proximal ascending aorta injury after a motorcycle crash.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Atypical echocardiographic findings in traumatic aortic transection

et al. 2016

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“…Jeder 3. an einem stumpfen Thoraxtrauma Verstorbene wies eine Verletzung der Aorta thoracica auf. 80 % dieser Patienten versterben noch am Unfallort und nur 10 % erreichen lebend die Klinik [7,41].…”

Section: Verletzung Der Großen Gefäßeunclassified

Der Patient mit Thoraxtrauma: präklinische Versorgung

Hansen¹,

Hachenberg²

2017

Anästhesiol Intensivmed Notfallmed Schmerzther

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Penetrating thoracic injuries are rare in Germany and common in urban regions. 10 percent of the patients in Emergency Departments suffer from blunt thoracic trauma. Mechanism of trauma can predict the severity of the injuries. Very fast life-threatening injuries with hemodynamic problems like tension pneumothorax or cardiac tamponade have to be diagnosed. Prehospital emergency physicians need skills in ultrasound for diagnosis and in invasive therapy like chest tube or pericardium drainage tube. The application of an algorithm in exploration of a thoracic trauma seems to be useful. The selection of trauma center depends on the severity of the trauma, if necessary with the availability of extracorporeal circulation.

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“…These injuries are fortunately rare but generally involve direct disruption of cardiac or vascular structure, ie, aortic rupture [38,[45][46][47]. Although rare in sports case reports have been published but the majority of these injuries require high energy and generally occur in accidents involving motorized vehicles, however, other sports such as skiing may generate similar forces.…”

Section: Chestmentioning

confidence: 99%

Evaluation and treatment of trauma related collapse in athletes

Gammons

2014

Curr Rev Musculoskelet Med

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Although blunt traumatic injuries are common in athletes, life-threatening trauma is fortunately rare. Most current literature has focused on nontraumatic causes of athlete death though traumatic injuries may be more common. Although prevention of these injuries may be more difficult than nontraumatic causes, prompt recognition and treatment is paramount. Common traumatic causes of collapse athlete generally involve the head, neck, and trunk and are more frequent in collision sports. Other higher risk sports include track and field, cheerleading, snow sports, and those involving motorized vehicles. Health care providers who participate in sports coverage should be aware of the potential for these injuries as emergency treatment is required to maximize outcomes. Emergency action plans allow providers to expediently activate emergency management services while providing treatment and stabilization.

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Ascending Aortic Injuries Following Blunt Trauma

Abstract: Traumatic injuries to the ascending aorta are relatively uncommon among survivors following blunt trauma. Aortography has been replaced by computed tomography and echocardiography as a diagnostic tool. Open repair, either emergent or delayed, remains the treatment of choice.

Cited by 15 publications

References 38 publications

Atypical echocardiographic findings in traumatic aortic transection

Atypical echocardiographic findings in traumatic aortic transection

Der Patient mit Thoraxtrauma: präklinische Versorgung

Evaluation and treatment of trauma related collapse in athletes

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