Traumatic Rupture of Thoracic Aorta

Dart, Charles H.; Braitman, Howard E.

doi:10.1001/archsurg.1976.01360240077014

Cited by 21 publications

(3 citation statements)

References 13 publications

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“…This is much lower than the 12% to 30% incidence of traumatic aortic injuries in adults who die of trauma. [9][10][11] The National Pediatric Trauma Registry, with more than 53 000 registrants 17 years of age and younger, includes only 29 patients with traumatic aortic disruptions. The mortality rate in this group was 51% (Carla DiScalla, PhD, oral communication, 1998).…”

Section: Commentmentioning

confidence: 99%

Traumatic Disruption of the Thoracic Aorta in Children

et al. 1999

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Section: Commentmentioning

confidence: 99%

Traumatic Disruption of the Thoracic Aorta in Children

et al. 1999

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“…Of all cases of blunt trauma resulting in substantial injury to the thorax, motor vehicle collisions account for a majority, followed by falls from height, pedestrian-automobile collisions, and crush injuries. ATAI from blunt trauma is a substantial cause of morbidity and mortality, occurring in approximately 0.5%-2% of all nonlethal motor vehicle collisions (2,3) and 10%-20% of all high-speed deceleration fatalities (3)(4)(5)(6)(7)(8)(9)(10). An overwhelming majority of major trauma patients are young, and if they survive, face a life-time of morbidity (11).…”

mentioning

confidence: 99%

Acute Traumatic Aortic Injury: Imaging Evaluation and Management

et al. 2008

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Despite recent advances in prehospital care, multidetector computed tomographic (CT) technology, and rapid definitive therapy, trauma to the aorta continues to be a substantial source of morbidity and mortality in patients with blunt trauma. The imaging evaluation of acute aortic injuries has undergone radical change over the past decade, mostly due to the advent of multidetector CT. Regardless of recent technologic advances, imaging of the aorta in the trauma setting remains a multimodality imaging practice, and thus broad knowledge by the radiologist is essential. Likewise, the therapy for acute aortic injuries has changed substantially. Though open surgical repair continues to be the mainstay of therapy, percutaneous endovascular repair is becoming commonplace in many trauma centers. Here, the historical and current status of imaging and therapy of acute traumatic aortic injuries will be reviewed.

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“…However, in most patients reaching the hospital alive, the adventitia and surrounding mediastinal structures remain more or less intact, thus partially preserving the integrity of the disrupted aorta and preventing acute exsanguination into the thorax. 21 In fact, exsanguination caused by delayed free rupture of an initially stable aortic tear may be less frequent than previously assumed. Supporting this hypothesis is a retrospective analysis of 5752 autopsies in which ment.…”

Section: Discussionmentioning

confidence: 99%