Behandlung von Aortenrupturen nach stumpfem Körpertrauma

Heberer, G.; Giessler, R.; Simon, E.

doi:10.1007/978-3-662-42950-1_5

Cited by 1 publication

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“…In 180 corpses, complete circumferential ruptures of the aorta caused death; in some, Table 8 summarizes the localization of the aortic disruptions following blunt trauma [53]. This typical pattern of ruptures is similar to previous reports [4][5][6]. In three-quarters of the cases the descending aorta was involved, and in almost 60%, the aortic isthmus was affected.…”

Section: Discussionsupporting

confidence: 75%

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Vascular injuries in polytrauma

et al. 1983

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In our surgical clinic, from January 1, 1978, to May 15, 1982, a total of 41 patients with polytrauma exhibited 45 concomitant vascular injuries requiring operation. This group of patients represents 10% of the 407 multiple trauma patients treated during this period. The incidence of vascular lesions of shoulder, neck, and upper extremities was 2.7% (n=11); lower extremities, 4.7% (n=19); within the abdominal cavity, 1% (n=4); and of acute thoracic aortic rupture, 2.7% (n=11). Seven patients (17%) died: 4 from additional brain trauma, 3 from hemorrhage by aortic ruptures. There were 6 major amputations (2 primary, 4 secondary) and 2 borderline amputations. In the remaining 26 patients, a good result following vascular repair was achieved. Angiologic examination, including computed tomography and angiography, is of great importance. Vascular repair deserves high priority since bleeding and/or ischemia threatens the patient's limbs, organs, or even life. This is especially true for the acute thoracic aortic rupture as a typical vascular injury in polytrauma. The incidence of peripheral vascular injuries in polytrauma is twice as high (7.3%) as in isolated extremity fractures (3.6%).

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Section: Discussionsupporting

confidence: 75%

“…In general, reconstruction by graft interposition is preferred. Deceleration injuries are almost exclusively limited to the thoracic aorta [1][2][3][4][5][6][7][8][9][10]. Eighty-five percent of these injuries result from car accidents.…”

Section: Indirect Traumamentioning

confidence: 99%