Rupture of thoracic aorta caused by blunt trauma

Cowley, R. Adams; Turney, Stephen Z.; Hankins, John R.; Rodríguez, Aurelio; Attar, Safuh; Shankar, B S

doi:10.1016/s0022-5223(19)35462-5

Cited by 216 publications

(71 citation statements)

References 34 publications

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“…Adequate decubitus positioning may be risky particularly with patients with spinal fractures [25]. Historically, open repair of traumatic aortic injuries have been associated with a 16% paraplegia rate and a 28% mortality rate [26][27][28]. Open repairs are typically performed with an interposition graft being placed where the injury formed.…”

Section: Grading and Managementmentioning

confidence: 99%

Blunt thoracic aortic injury – concepts and management

Mouawad¹,

Paulisin²,

Hofmeister³

et al. 2020

J Cardiothorac Surg

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Background: Blunt thoracic aortic injury, a life-threatening concern, remains the second most common cause of mortality among all non-penetrating traumatic injuries, second only to intracranial hemorrhage. Kinetic forces from the rapid deceleration are the impetus for the injury mechanism and are graded accordingly. Given the prevalence of trauma as a public health problem, contemporary management considerations are important. Main body: Blunt thoracic aortic injury may be fatal if not diagnosed and treated expeditiously. Endovascular options allow safe and effective management of these dangerous injuries. This paper describes the overview of blunt thoracic aortic trauma, the epidemiology, presentation, diagnosis, and treatment options with a focus on endovascular management. Conclusion: Blunt thoracic aortic injury requires a high index of suspicion based on mechanism of injury in the trauma population. Endovascular options have become the mainstay of blunt thoracic aortic injury treatment whenever feasible with satisfactory results and long-term outcomes.

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Section: Grading and Managementmentioning

confidence: 99%

Blunt thoracic aortic injury – concepts and management

Mouawad¹,

Paulisin²,

Hofmeister³

et al. 2020

J Cardiothorac Surg

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“…The mechanisms which come into play in the traumatic hurts of the thoracic aorta are mainly bound to the deceleration or to the acceleration, pulling the laceration of the wall at the level of the zones of transition between the mobile aorta and the stiffer or fixed aorta [8] [9] [10]. So, the aortic isthmus is the most frequent location of the traumatic breaks of the aorta, it represents 90% to 98% of the cases in the surgical series and 45% in 65% of the cases in the autopsiques series [4] [5]. The downward thoracic distal aorta is the second location in frequency 7 in 12%.…”

Section: Discussionmentioning

confidence: 99%

“…It is the pathology which affects preferentially a young, mainly male population [3]. From the topographic point of view, the aortic isthmus, is widely dominant (90% -98%) [4] [5]. The ascending aorta is more rarely concerned.…”

Section: Introductionmentioning

confidence: 99%

Traumatic Break of the Ascending Aorta: About a Case

Perrotti¹,

Kanté²,

Coulibaly³

et al. 2018

OJTS

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“…Open surgical repair had been the standard treatment in these patients albeit being associated with significant perioperative morbidity and mortality nearing 28%. 5 Significant complicating factors that may affect surgical outcome included the need for thoracotomy, aortic cross-clamping, and the possible need for cardiopulmonary bypass. A major morbidity postsurgical repair is paraplegia which occurs at a rate of about 19.2% 6 and is usually the result of spinal ischemia.…”

Section: Discussionmentioning

confidence: 99%