Current diagnosis and management of blunt traumatic rupture of the thoracic aorta
نویسندگان
چکیده
The diagnosis and management of aortic lacerations has been gradually improving. Historically, aortic lacerations were a common cause of exsanguination with extremely high mortality rate. However, in modern trauma systems with advanced resuscitation and rapid radiology imaging, the diagnosis of an aortic injury is improving with an emphasis on preventing the progression of intimal flaps and pseudoaneurysms to frank dissection or rupture. Both diagnostic modalities and theparadigmof immediate operative interventionhave changed.Theevolutionof endovascular stentingmayplaya future role in definitive care.
منابع مشابه
Use of CT for diagnosis of traumatic rupture of the thoracic aorta.
CT imaging of traumatic aortic rupture has been both advocated and disparaged in the current literature as a reliable diagnostic modality. In a retrospective review of blunt chest trauma patients at our institution evaluated by both thoracic CT and arteriography, we found a 17% false negative rate and a 39% false positive rate. Although we feel CT is not sufficiently sensitive at present to eva...
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تاریخ انتشار 2007