MedStar Authors catalog › Details for: Ascending aortic injuries following blunt trauma. [Review]
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Ascending aortic injuries following blunt trauma. [Review]

by Sun, Xiumei; Hong, Jenny; Lowery, Robert C; Goldstein, Steven A; Wang, Zuyue; Lindsay, Joseph; Hill, Peter C; Corso, Paul J.
Citation: Journal of Cardiac Surgery. 28(6):749-55, 2013 Nov..Journal: Journal of cardiac surgery.ISSN: 0886-0440.Full author list: Sun X; Hong J; Lowery R; Goldstein S; Wang Z; Lindsay J; Hill PC; Corso PJ.UI/PMID: 24224744.Subject(s): *Aorta/in [Injuries] | *Aorta/su [Surgery] | Aorta/us [Ultrasonography] | Aortic Valve/in [Injuries] | Aortic Valve/su [Surgery] | Aortic Valve/us [Ultrasonography] | *Aortic Valve Insufficiency/et [Etiology] | *Aortic Valve Insufficiency/su [Surgery] | Aortic Valve Insufficiency/us [Ultrasonography] | Aortography | Cohort Studies | Echocardiography | Echocardiography, Transesophageal | Emergencies | Heart Valve Prosthesis Implantation | Humans | Male | Middle Aged | Perioperative Care | *Thoracic Injuries/co [Complications] | Tomography, X-Ray Computed | Treatment Outcome | Vascular Surgical Procedures/mt [Methods] | *Wounds, Nonpenetrating/co [Complications]Institution(s): MedStar Heart & Vascular Institute | MedStar Washington Hospital CenterDepartment(s): MedicineActivity type: Journal Article.Medline article type(s): Case Reports | Journal Article | ReviewDigital Object Identifier: http://dx.doi.org/10.1111/jocs.12237 (Click here) Abbreviated citation: J Card Surg. 28(6):749-55, 2013 Nov.Abstract: 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.Abstract: 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.Abstract: 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.Abstract: 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.

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