Blunt Trauma to the Thoracic Aorta: Current Challenges

Author(s):  
Kenneth L. Mattox ◽  
Cliff Whigham ◽  
Richard G. Fisher ◽  
Matthew J. Wall
Keyword(s):  
2001 ◽  
Vol 49 (10) ◽  
pp. 635-637 ◽  
Author(s):  
Katsuhisa Onoguchi ◽  
Takashi Hachiya ◽  
Tatsuumi Sasaki ◽  
Kazuhiro Hashimoto ◽  
Hiromitsu Takakura ◽  
...  

1988 ◽  
Vol 29 (4) ◽  
pp. 411-417 ◽  
Author(s):  
F. M. Heystraten ◽  
G. Rosenbusch ◽  
L. M. Kingma ◽  
L. K. Lacquet ◽  
Th. de Boo ◽  
...  

Of 123 patients who had suffered blunt trauma to the chest traumatic aortic rupture was eventually confirmed in 61 and absent in 62 patients. The chest radiographs of these patients were examined for 15 signs reported in the literature as being associated with traumatic aortic rupture. Although many individual signs were significantly more frequent in the aortic rupture group they were not useful in differentiating between patients with and those without rupture of the aorta. By using discriminant analysis combining 2 or 3 signs, patients were classified as having aortic rupture or not. The best discrimination between the two groups was obtained using the combined signs of a widened paratracheal stripe, an opacified pulmonary window, a widened right paraspinal interface and a displaced nasogastric tube.


2008 ◽  
Vol 35 (3) ◽  
pp. 305-310 ◽  
Author(s):  
Osvaldo Chiara ◽  
Stefania Cimbanassi ◽  
Riccardo Zoia

1973 ◽  
Vol 15 (5) ◽  
pp. 536-540 ◽  
Author(s):  
George E. Cimochowski ◽  
Peter J. Barcia ◽  
Tom R. DeMeester ◽  
Louie H. Griffin ◽  
Malcolm E. Fishback
Keyword(s):  

1990 ◽  
Vol 100 (5) ◽  
pp. 652-661 ◽  
Author(s):  
R.A. Cowley ◽  
S.Z. Turney ◽  
J.R. Hankins ◽  
A. Rodriguez ◽  
S. Attar ◽  
...  
Keyword(s):  

1977 ◽  
Vol 17 (3) ◽  
pp. 199-205 ◽  
Author(s):  
ROBERT J. AYELLA ◽  
JOHN R. HANKINS ◽  
STEPHEN Z. TURNEY ◽  
R ADAMS COWLEY
Keyword(s):  

1977 ◽  
Vol 17 (10) ◽  
pp. 749-753 ◽  
Author(s):  
LAURENS R. PICKARD ◽  
KENNETH L. MATTOX ◽  
RAFAEL ESPADA ◽  
ARTHUR C. BEALL ◽  
MICHAEL E. DEBAKEY

2000 ◽  
Vol 7 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Armando C. Lobato ◽  
Rhonda C. Quick ◽  
Bradley Phillips ◽  
Mitar Vranic ◽  
Julio Rodriguez-Lopez ◽  
...  

Purpose: To report the immediate endovascular treatment of a thoracic aortic tear secondary to blunt trauma. Methods and Results: A 39-year-old man was injured in a motor vehicle collision. In addition to significant trauma to the head, chest, and abdomen, there were signs of a deceleration injury to the thoracic aorta. After urgent celiotomy to repair a lacerated spleen, the thoracic aortic transection was treated intraluminally using an endograft made of Gianturco Z-stents covered with polytetrafluoroethylene. The patient recovered from his injuries, and the thoracic endograft shows no evidence of endoleak 7 months after treatment. Conclusions: Endoluminal techniques can be used successfully in the immediate repair of thoracic aortic injuries.


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