Ascending aortic injuries following blunt trauma. [Review]
Ascending aortic injuries following blunt trauma. [Review]
- 2013
BACKGROUND: The diagnosis and the management of traumatic thoracic aortic injuries have undergone significant 140821s due to new technology and improved prehospital care. Most of the discussions have focused on descending aortic injuries. In this review, we discuss the recent management of ascending aortic injuries. CONCLUSIONS: Traumatic injuries to the ascending aorta are relatively uncommon among survivors following blunt trauma. Aortography has been replaced by computed tomography and echocardiography as a diagnostic tool. Open repair, either emergent or delayed, remains the treatment of choice. 2013 Wiley Periodicals, Inc. METHODS: We found 5 cohort studies on traumatic aortic injuries and 11 case reports describing ascending aortic injuries between 1998 to the present through Medline research. RESULTS: Among case reports, 78.9% of cases were caused by motor vehicle accidents (MVA). 42.1% of patients underwent emergent open repair and the operative mortality was 12.5%. 36.8% underwent delayed repair. Associated injuries occurred in 84.2% of patients. Aortic valve injury was concurrent in 26.3% of patients. The incidence of ascending aortic injury ranged 1.9-20% in cohort studies.
English
0886-0440
*Aorta/in [Injuries]
*Aorta/su [Surgery]
*Aortic Valve Insufficiency/et [Etiology]
*Aortic Valve Insufficiency/su [Surgery]
*Thoracic Injuries/co [Complications]
*Wounds, Nonpenetrating/co [Complications]
Aorta/us [Ultrasonography]
Aortic Valve Insufficiency/us [Ultrasonography]
Aortic Valve/in [Injuries]
Aortic Valve/su [Surgery]
Aortic Valve/us [Ultrasonography]
Aortography
Cohort Studies
Echocardiography
Echocardiography, Transesophageal
Emergencies
Heart Valve Prosthesis Implantation
Humans
Male
Middle Aged
Perioperative Care
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures/mt [Methods]
MedStar Heart & Vascular Institute
MedStar Washington Hospital Center
Medicine
Case Reports
Journal Article
Review
BACKGROUND: The diagnosis and the management of traumatic thoracic aortic injuries have undergone significant 140821s due to new technology and improved prehospital care. Most of the discussions have focused on descending aortic injuries. In this review, we discuss the recent management of ascending aortic injuries. CONCLUSIONS: Traumatic injuries to the ascending aorta are relatively uncommon among survivors following blunt trauma. Aortography has been replaced by computed tomography and echocardiography as a diagnostic tool. Open repair, either emergent or delayed, remains the treatment of choice. 2013 Wiley Periodicals, Inc. METHODS: We found 5 cohort studies on traumatic aortic injuries and 11 case reports describing ascending aortic injuries between 1998 to the present through Medline research. RESULTS: Among case reports, 78.9% of cases were caused by motor vehicle accidents (MVA). 42.1% of patients underwent emergent open repair and the operative mortality was 12.5%. 36.8% underwent delayed repair. Associated injuries occurred in 84.2% of patients. Aortic valve injury was concurrent in 26.3% of patients. The incidence of ascending aortic injury ranged 1.9-20% in cohort studies.
English
0886-0440
*Aorta/in [Injuries]
*Aorta/su [Surgery]
*Aortic Valve Insufficiency/et [Etiology]
*Aortic Valve Insufficiency/su [Surgery]
*Thoracic Injuries/co [Complications]
*Wounds, Nonpenetrating/co [Complications]
Aorta/us [Ultrasonography]
Aortic Valve Insufficiency/us [Ultrasonography]
Aortic Valve/in [Injuries]
Aortic Valve/su [Surgery]
Aortic Valve/us [Ultrasonography]
Aortography
Cohort Studies
Echocardiography
Echocardiography, Transesophageal
Emergencies
Heart Valve Prosthesis Implantation
Humans
Male
Middle Aged
Perioperative Care
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures/mt [Methods]
MedStar Heart & Vascular Institute
MedStar Washington Hospital Center
Medicine
Case Reports
Journal Article
Review