Etiology of the Widened Mediastinum: Blunt Thoracic Trauma

Parker, Mark S.; Matheson, Tracy L.; Rao, Ashutosh V.; Sherbourne, Caroline D.; Jordan, Kirk G.; Landay, Michael; Miller, George; Summa, James A.

doi:10.1097/00042423-200101000-00004

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2005

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“…The CXR is abnormal in the majority of patients with aortic branch injuries, with an estimated sensitivity of 85–100% 15,28 , 34–36 . However, the specificity of CXR abnormalities is only 10–45% and the most common findings, mediastinal widening and loss of clarity in the contour of the aortic arch, are also commonly observed with aortic rather than aortic branch injuries 19,34 . Thus, patients with abnormal CXR and/or a suspicious mechanism of injury will require further investigation.…”

Section: Discussionmentioning

confidence: 99%

“…15,28,[34][35][36] However, the specificity of CXR abnormalities is only 10-45% and the most common findings, mediastinal widening and loss of clarity in the contour of the aortic arch, are also commonly observed with aortic rather than aortic branch injuries. 19,34 Thus, patients with abnormal CXR and/or a suspicious mechanism of injury will require further investigation. The three most commonly used techniques, which can be used alone or in combination, are TOE, helical CT and arteriography.…”

Section: Investigationsmentioning

confidence: 99%

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