Abstract
Blunt thoracic aortic injury (BTAI) represents an infrequently encountered but lethal traumatic injury. Minimal aortic injuries are appropriately treated by medical management, while more severe injuries require endovascular or open repair. Rapidly evolving endovascular technology has largely supplanted open repair as first line operative intervention, however, the complexity of the severely injured blunt trauma patient can complicate management decisions. The development and implementation of an optimal consensus grading system and treatment algorithm for the management of BTAI is necessary and will require multi-institutional study.
MeSH terms
-
Aorta, Thoracic / diagnostic imaging
-
Aorta, Thoracic / injuries
-
Aorta, Thoracic / surgery*
-
Aortography / methods
-
Blood Vessel Prosthesis Implantation* / adverse effects
-
Blood Vessel Prosthesis Implantation* / mortality
-
Clinical Decision-Making*
-
Computed Tomography Angiography
-
Endovascular Procedures* / adverse effects
-
Humans
-
Patient Selection*
-
Risk Factors
-
Thoracic Injuries / diagnostic imaging
-
Thoracic Injuries / mortality
-
Thoracic Injuries / surgery*
-
Treatment Outcome
-
Ultrasonography, Interventional
-
Vascular System Injuries / diagnostic imaging
-
Vascular System Injuries / mortality
-
Vascular System Injuries / surgery*
-
Wounds, Nonpenetrating / diagnostic imaging
-
Wounds, Nonpenetrating / mortality
-
Wounds, Nonpenetrating / surgery*