Nationwide Analysis of Penetrating Thoracic Aortic Injury: Injury Patterns, Management, and Outcomes

Slocum, Charles; Chiba, Hiroto; Emigh, Brent; Tam, Benjamin; Schellenberg, Morgan; Inaba, Kenji; Matsushima, Kazuhide

doi:10.1016/j.jss.2022.11.077

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…Penetrating aortic trauma frequently affects adjacent tissues and organs such as the esophagus, diaphragm, and heart, also, in most cases patients die before reaching hospital facilities ( 20 ). In a large proportion of cases, the patients enter the emergency room with hemodynamic instability; in these conditions, any imaging method should be performed, and the surgical approach should not be delayed ( 16 , 20 ). If the rupture has a contained hematoma, as reported in this patient, endovascular repair may be deferred until the associated life-threatening trauma is treated.…”

Section: Discussionmentioning

confidence: 99%

Case report: Endovascular stent-graft repair of aortic penetrating trauma, literature review, and case report

Bayona,

Rey Chaves,

Hernández Rodríguez

et al. 2023

Front. Surg.

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Penetrating aortic injuries are infrequent. Its incidence is unknown because most patients die of hemorrhage even before they receive adequate treatment. Aortic wounds generally require conventional thoracotomy/laparotomy repair and are related to high mortality rates. Recently with the advent of endovascular techniques, most authors prefer endovascular management when feasible due to better (still poor) outcomes. The short- and mid-term results of immediate endovascular repair of traumatic aortic injuries are promising, especially when compared with open surgical treatment, indicating that endovascular therapy is preferable in patients with multi-trauma and traumatic ruptures of the thoracic aorta. Here we present the diagnosis and treatment of a 30 years-old male patient with multiple traumatic stab wounds, including anterior aortic laceration with a grade II aortic lesion successfully managed with an endovascular stent graft.

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Section: Discussionmentioning

confidence: 99%