Main pulmonary artery laceration after blunt trauma: accurate preoperative diagnosis

Ambrose, Gunaseelan; Barrett, Leonard O.; Angus, George; Absi, Tauriq; Shaftan, Gerald W.

doi:10.1016/s0003-4975(00)01530-7

Cited by 17 publications

(3 citation statements)

References 6 publications

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“…Injuries to the pulmonary trunk after cardiac trauma is extremely rare—in a series of 585 postmortem autopsies conducted following blunt cardiac trauma, Mattox et al found only 4 cases of pulmonary artery lacerations. 31 It is estimated to have a survival rate of less than 30%. Common concomitant radiographic findings include mediastinal widening, first rib or scapular fractures, or pleural capping.…”

Section: Spectrum Of Cardiac Injuriesmentioning

confidence: 99%

State of the Art Imaging Review of Blunt and Penetrating Cardiac Trauma

Qamar

Nicolaou

et al. 2020

Can Assoc Radiol J

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Traumatic cardiovascular injuries are only second to the central nervous system injuries as a cause of death in young adult population. Multidetector computed tomography is the gold standard diagnostic modality in patients with blunt or penetrating chest trauma and clinical suspicion of cardiac injury. The imaging spectrum of cardiac injuries includes but not limits to pericardial rupture, myocardial contusions, valve rupture, coronary artery injuries, cardiac herniations, and cardiac tamponade. In this review article, we discuss clinical presentation, types, and mechanism of cardiac trauma with emphasis on the imaging findings and illustrations in blunt, penetrating traumatic, and iatrogenic cardiac injuries.

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Section: Spectrum Of Cardiac Injuriesmentioning

confidence: 99%

State of the Art Imaging Review of Blunt and Penetrating Cardiac Trauma

Qamar

Nicolaou

et al. 2020

Can Assoc Radiol J

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“…Rupture of the hilar pulmonary arteries may result in brisk extravasation with massive hemothorax, respiratory compromise, and exsanguination (58). The pulmonary trunk and the anterior aspect of the intrathoracic IVC are intrapericardial structures, and injury to these regions will likely lead to hemopericardium.…”

Section: Chest Injuriesmentioning

confidence: 99%

Blunt Polytrauma: Evaluation with 64-Section Whole-Body CT Angiography

2012

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Blunt polytrauma remains a leading cause of death and disability worldwide. With the major advances in computed tomography (CT) technology over the past decade, whole-body CT is increasingly recognized as the emerging standard for providing rapid and accurate diagnoses within the narrow therapeutic window afforded to trauma victims with multiple severe injuries. With a single continuous acquisition, whole-body CT angiography is able to demonstrate all potentially injured organs, as well as vascular and bone structures, from the circle of Willis to the symphysis pubis. As its use becomes more widespread, the large volume of information inherent to whole-body CT poses new challenges to radiologists in providing efficient and timely interpretation. An awareness of trauma scoring systems and injury mechanisms is essential to maintain an appropriate level of suspicion in the search for multiple injuries, and the use of multiplanar reformation and three-dimensional postprocessing techniques is important to maximize efficiency in the search. Knowledge of the key injuries that require urgent surgical or percutaneous intervention, including major vascular injuries and active hemorrhage, diaphragmatic rupture, unstable spinal fractures, pancreatic injuries with ductal involvement, and injuries to the mesentery and hollow viscera, is also necessary.

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“…Enquanto que pequenas lesões arteriais e venosas pulmonares posam ser tratadas por sutura lateral, lesões que envolvam ligadura de uma das artérias pulmonares exigem uma pneumonectomia enquanto a ligadura de uma veia pulmonar exige lobectomia correspondente 35,36,37 .…”

Section: Figura 4 -Figura 4 -Figura 4 -Figura 4 -Figura 4 -unclassified

Vias de acesso aos grandes vasos mediastinais no trauma torácico

Gonçalves¹,

Júnior²

2012

Rev. Col. Bras. Cir.

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Trauma is the most common cause of death in the economically active population and thoracic trauma is directly or indirectly responsible for one quarter of these deaths. Lesions to the large thoracic vessels are associated with immediate or early death in the hospital setting. Patients admitted alive can be classified as stable or unstable. The access route to be elected for management of these veins will depend on this status, as well as on the anatomical particularities of the patient, which may require combined incisions for adequate access. This article provides a review and discussion of lesions to these structures as well as access routes to them.

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Main pulmonary artery laceration after blunt trauma: accurate preoperative diagnosis

Cited by 17 publications

References 6 publications

State of the Art Imaging Review of Blunt and Penetrating Cardiac Trauma

State of the Art Imaging Review of Blunt and Penetrating Cardiac Trauma

Blunt Polytrauma: Evaluation with 64-Section Whole-Body CT Angiography

Vias de acesso aos grandes vasos mediastinais no trauma torácico

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