Blunt Trauma to the Abdominal Aorta

Lock, James; Huffman, Allan D.; Johnson, Ronny C.

doi:10.1097/00005373-198706000-00015

Cited by 73 publications

(33 citation statements)

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“…The most commonly injured sites are at the level of the inferior mesenteric artery (IMA) (33%), renal arteries (24%), and between the IMA and aortic bifurcation (19%). 4 Most of the literature about BAAI is limited to case reports and small cases series, with three literature reviews over 3 decades and less than 200 cases in the current reported world literature reflecting the rarity of this entity. 2,4,5 We sought to describe the experience of a highvolume trauma center during the past 15 years and to provide a contemporary review of the literature to better understand the natural history and management options of this injury.…”

mentioning

confidence: 99%

Blunt abdominal aortic injury

Shalhub

Starnes

Tran

et al. 2012

Journal of Vascular Surgery

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This is the largest BAAI series described in the English literature at one institution. BAAIs range from intimal tears to free rupture, with outcomes and management correlating with type and location of injury. Nonoperative management with blood pressure control using β-blockers coupled with antiplatelet therapy and close follow-up is successful in individuals with intimal tears with minimal thrombus formation because they remain stable or resolve on follow-up. Free rupture remains a devastating injury, with 100% mortality. For all other categories of aortic injury, successful repair correlates with a favorable prognosis.

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confidence: 99%

Blunt abdominal aortic injury

Shalhub

Starnes

Tran

et al. 2012

Journal of Vascular Surgery

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“…Two major mechanisms have been proposed to explain this particular location: a partially longitudinal deceleration force, especially in seat-belt injuries [3], or direct compression of the abdominal aorta. The most common site of traumatic abdominal aortic dissection is, as in our cases, below the inferior mesenteric artery, but can involve other parts of the abdominal aorta [1]. The results are an intimal tear or damage to the vasa vasorum with an intramural hematoma, secondarily complicated by progressive fibrosis with narrowing of the lumen [4].…”

Section: Discussionmentioning

confidence: 80%

“…In blunt trauma, abdominal aortic dissection is uncommon [1]. Two major mechanisms have been proposed to explain this particular location: a partially longitudinal deceleration force, especially in seat-belt injuries [3], or direct compression of the abdominal aorta.…”

Section: Discussionmentioning

confidence: 99%

“…In survivors the prognosis of post-traumatic aortic dissection is so poor that surgical repair is the rule. Lock et al [1] have reported 75% mortality if conservative treatment is chosen. Complications are a false aneurysm, rupture, or thrombosis of the aorta [4].…”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous evolution leads to occlusion, thrombosis, and sometimes to rupture [1]. To prevent such complications, traumatic dissections are treated by surgery.…”

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confidence: 99%

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Dissection of the Abdominal Aorta in Blunt Trauma: Management by Percutaneous Stent Placement

Vernhet

Marty-Ané

Lesnik

et al. 1997

Cardiovasc Intervent Radiol

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We implanted stents in three patients who had traumatic abdominal aortic dissections, complicated by right limb ischemia in one case. The circulating false channel extended to the left iliac artery in one case and to both iliac arteries in the last case. Diagnosis and radiological follow-up included ultrasound, computed tomography, and arteriography. Two patients were treated with Wallstents, one with a Palmaz stent. The occlusion of the false channel was obtained in all patients without any significant residual stenosis. No early or late complication was noted in any of the patients. The longest follow-up was 2 years. We conclude that stent placement is an efficient method for the treatment of noniatrogenic inframesenteric aortic dissections.

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Vascular Trauma

Mattassi¹,

Zorzoli²

2000

Textbook of Angiology

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Blunt Trauma to the Abdominal Aorta

Cited by 73 publications

References 0 publications

Blunt abdominal aortic injury

Blunt abdominal aortic injury

Dissection of the Abdominal Aorta in Blunt Trauma: Management by Percutaneous Stent Placement

Vascular Trauma

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