Ascending aortic injuries following blunt trauma. [Review]

MedStar author(s):
Citation: Journal of Cardiac Surgery. 28(6):749-55, 2013 Nov.PMID: 24224744Institution: MedStar Heart & Vascular Institute | MedStar Washington Hospital CenterDepartment: MedicineForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal Article | ReviewSubject headings: *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]Year: 2013ISSN:
  • 0886-0440
Name of journal: Journal of cardiac surgeryAbstract: 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 Aortography has been replaced by computed tomography and echocardiography as a diagnostic tool.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.All authors: Corso PJ, Goldstein S, Hill PC, Hong J, Lindsay J, Lowery R, Sun X, Wang ZFiscal year: FY2014Digital Object Identifier: Date added to catalog: 2014-08-21
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Journal Article MedStar Authors Catalog Article 24224744 Available 24224744

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.

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