Format

Send to

Choose Destination
See comment in PubMed Commons below
Scand J Trauma Resusc Emerg Med. 2009 Sep 14;17:42. doi: 10.1186/1757-7241-17-42.

Vascular injuries after blunt chest trauma: diagnosis and management.

Author information

1
R. Adams Cowley Shock Trauma Center, Baltimore, USA. joconnor@umm.edu

Abstract

BACKGROUND:

Although relatively rare, blunt injury to thoracic great vessels is the second most common cause of trauma related death after head injury. Over the last twenty years, the paradigm for management of these devastating injuries has changed drastically. The goal of this review is to update the reader on current concepts of diagnosis and management of blunt thoracic vascular trauma.

METHODS:

A review of the medical literature was performed to obtain articles pertaining to both blunt injuries of the thoracic aorta and of the non-aortic great vessels in the chest. Articles were chosen based on authors' preference and clinical expertise.

DISCUSSION:

Blunt thoracic vascular injury remains highly lethal, with most victims dying prior to reaching a hospital. Those arriving in extremis require immediate intervention, which may include treatment of other associated life threatening injuries. More stable injuries can often be medically temporized in order to optimize definitive management. Endovascular techniques are being employed with increasing frequency and can often significantly simplify management in otherwise very complex patient scenarios.

PMID:
19751511
PMCID:
PMC2749011
DOI:
10.1186/1757-7241-17-42
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for BioMed Central Icon for PubMed Central
    Loading ...
    Support Center