scholarly journals Early Clinical Diagnosis and Treatment of Traumatic Aortic Injury Caused by Thoracic and Abdominal Injuries: A Series of Four Cases with Literature Review

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Qiqi Wu ◽  
Shanshan Sun ◽  
Jie Xie ◽  
Tianyu Li ◽  
Hui Li ◽  
...  

Aortic injury, particularly traumatic aortic dissection caused by thoracic and abdominal injuries, is extremely rare. The diagnosis rate of blunt aortic injury caused by chest and abdominal injuries is often low, and its clinical manifestations are atypical. Once missed or misdiagnosed, the consequences are serious. Early diagnosis of traumatic aortic injury in complex thoracic and abdominal injuries is a key factor in reducing the mortality of trauma patients. Among all trauma patients treated in our department from December 2018 to December 2020, we diagnosed four cases of aortic injury, including three cases of aortic dissection and one case of intramural hematoma. Successful surgical treatment and clinical outcome were achieved in all four patients. We found that early diagnosis and surgical treatment can help to reduce the mortality of patients with traumatic aortic injury and improve the prognosis.


2007 ◽  
Vol 62 (6) ◽  
pp. 1421-1426 ◽  
Author(s):  
Eric Bergeron ◽  
Andre Lavoie ◽  
Amina Belcaid ◽  
Lynne Moore ◽  
David Clas ◽  
...  


2021 ◽  
Vol 9 ◽  
pp. 2050313X2110606
Author(s):  
Shunya Ono ◽  
Retsu Tateishi ◽  
Masato Shioya ◽  
Yoshihumi Itoda ◽  
Yusuke Tsukioka ◽  
...  

Blunt traumatic aortic injury is a rare but life-threatening condition, usually following high-energy trauma. We present the case of a 79-year-old man who was transferred to a hospital complaining of nausea after being struck on the chest. Computed tomography led to diagnosis of ascending aortic dissection with cardiac tamponade. Emergent ascending aortic replacement was performed successfully and he was discharged home on postoperative day 24 without any complications. The key to early diagnosis of blunt traumatic aortic injury is careful and detailed history-taking. If trauma patients complain of unexplained symptoms, the threshold for conducting computed tomography should be lowered to avoid misdiagnosis or therapeutic delay.



2014 ◽  
pp. 211-252
Author(s):  
Levon M. Capan ◽  
Sanford M. Miller


2020 ◽  
Vol 71 (3) ◽  
pp. 313-321
Author(s):  
Waleed Abdellatif ◽  
Brandon Chow ◽  
Saira Hamid ◽  
Dina Khorshed ◽  
Faisal Khosa ◽  
...  

Traumatic diaphragmatic injury (TDI) is an underdiagnosed condition that has recently increased in prevalence due to its association with automobile collisions. The initial injury is often obscured by concurrent thoracic and abdominal injuries. Traumatic diaphragmatic injury itself is rarely lethal at initial presentation, however associated injuries and complications of untreated TDI such as herniation and strangulation of abdominal viscera have serious clinical consequences. There are 2 primary mechanisms of TDIs: penetrating TDI which tend to be smaller, more difficult to detect, and result in fewer complications; and blunt TDIs which are larger and have higher overall mortality due to associated injuries or delayed complications. The anatomy of thoracic and abdominal cavities distinguishes the epidemiology, pathophysiology, symptoms, treatment, and prognosis of right versus left TDI. Although there is no definitive radiologic sign for diagnosing TDI, many signs have been introduced in the literature and the concurrent presence of multiple signs increases the sensitivity of TDI detection. Conservative versus surgical management depends on mechanism of TDI, side, and most importantly the associated injuries.



Author(s):  
Muazez Çevik ◽  
Mehmet Emin Boleken ◽  
Mehmet Emin Balcıoğlu ◽  
Servet Öcal ◽  
Asım Aydınoğlu ◽  
...  


Author(s):  
O. V. Voskresenskiy ◽  
M. M. Abakumov ◽  
E. A. Tarabrin




1983 ◽  
Vol 23 (9) ◽  
pp. 844-848 ◽  
Author(s):  
GREGORY J. JURKOVICH ◽  
WILLIAM H. PEARCE ◽  
HENRY C. CLEVELAND


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