Skip to main content
SpringerLink
Log in

Trauma of the Thoracic Aorta

  • Chapter
Vascular Surgery

Part of the book series: European Manual of Medicine ((EUROMANUAL))

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 159.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Amabile P, Collart F, Gariboldi V et al (2004) Surgical versus endovascular treatment of traumatic aortic rupture. J Vasc Surg 40:873–879

    Article  PubMed  Google Scholar 

  2. Attar S, Cardarelli MG, Downing SW et al (1999) Traumatic aortic rupture: recent outcome with regard to neurologic deficit. Ann Thorac Surg 67:959–965

    Article  PubMed  CAS  Google Scholar 

  3. Ben-Menachem Y (1993) Rupture of the thoracic aorta by broadside impacts in road traffic and other collisions: further angiographic observations and preliminary autopsy findings. J Trauma 35:363–367

    PubMed  CAS  Google Scholar 

  4. Ben-Menachem Y (1997) Assessment of blunt aorto-brachiocephalic trauma: should angiography be supplanted by transesophageal echocardiography? J Trauma 42:969–972

    PubMed  CAS  Google Scholar 

  5. Brundage SI, Harruff R, Jurkovich GJ et al (1998) The epidemiology of thoracic aortic injuries in pedestrians. J Trauma 43:1010–1014

    Google Scholar 

  6. Buckmeister MJ, Kearney PA, Johnson SB et al (1994) Further experience with transesophageal echocardiography in the evaluation of thoracic aortic injury. J Trauma 37:989–995

    Article  Google Scholar 

  7. Carter Y, Meissner M, Bulger E et al (2001) Anatomical considerations in the surgical management of blunt thoracic injury. J Vasc Surg 34:628–633

    Article  PubMed  CAS  Google Scholar 

  8. Crass JR, Cohen AM, Motta AO et al (1990) A proposed new mechanism of traumatic aortic rupture: the osseous pinch. Radiology 176:645–649

    PubMed  CAS  Google Scholar 

  9. Daenen G, Maleux G, Daenens K et al (2003) Thoracic aortic endoprosthesis: the final countdown for open surgery after traumatic aortic rupture. Ann Vasc Surg 17:185–191

    Article  PubMed  CAS  Google Scholar 

  10. Downing SW, Sperling JS, Mirvis SE et al (2001) Experience with spiral computed tomography as the sole diagnostic method for traumatic aortic rupture. Ann Thorac Surg 72:495–502

    Article  PubMed  CAS  Google Scholar 

  11. Duhaylongsod FG, Glower DD, Wolfe WG (1992) Acute traumatic aneurysm: the Duke experience from 1970 to 1990. J Vasc Surg 15:331–342

    Article  PubMed  CAS  Google Scholar 

  12. Dunn JA, Williams RG (1996) Occult ascending aortic rupture in the presence of an airbag. Ann Thorac Surg 62:577–578

    Article  PubMed  CAS  Google Scholar 

  13. Fabian TC, Richardson JD, Croce MA et al (1997) Prospective study of blunt aortic injury: multicenter trial of the American Association for the Surgery of Trauma. J Trauma 42:374–380

    PubMed  CAS  Google Scholar 

  14. Fisher RG, Hadlack F, Ben-Menachem Y (1981) Laceration of the thoracic and brachiocephalic arteries by blunt trauma. Radiol Clin North Am 19:91–110

    PubMed  CAS  Google Scholar 

  15. Fujikawa T, Yukioka T, Ishimura S et al (2001) Endovascular stent grafting for the treatment of blunt thoracic aortic injury. J Trauma 50:223–229

    PubMed  CAS  Google Scholar 

  16. Gammie SJ, Shah AS, Hattler BG et al (1998) Traumatic aortic rupture: diagnosis and management. Ann Thorac Surg 66:1295–1300

    Article  PubMed  CAS  Google Scholar 

  17. Gavant ML, Menke PG, Fabian T et al (1995) Blunt traumatic aortic rupture: detection with helical CT of the chest. Radiology 197:125–133

    PubMed  CAS  Google Scholar 

  18. Goodman PC, Jeffrey RB, Minagi H et al (1982) Angiographic evaluation of the ductus diverticulum. Cardiovasc Intervent Radiol 5:1–4

    Article  PubMed  CAS  Google Scholar 

  19. Greenberg MD, Rosen CL (1999) Evaluation of the patients with blunt chest trauma: an evidence based approach. Emerg Med Clin North Am 17:41–62

    Article  PubMed  CAS  Google Scholar 

  20. Greendyke RM (1966) Traumatic rupture of the aorta. Special references to automobile accidents. J Am Med Assoc 195:527–531

    Article  CAS  Google Scholar 

  21. Gundry SR, Burney RE, Mackenzie JR et al (1983) Assessment of mediastinal widening associated with traumatic rupture of the aorta. J Trauma 22:293–299

    Article  Google Scholar 

  22. Hemmila MR, Arabi S, Rowe SA et al (2004) Delayed repair for blunt thoracic aortic injury: is it really equivalent to early repair? J Trauma 56:13–23

    PubMed  Google Scholar 

  23. Hunt JP, Baker CC, Lentz CW et al (1996) Thoracic aorta injuries: management and outcome of 144 patients. J Trauma 40:547–556

    PubMed  CAS  Google Scholar 

  24. Jahromi AS, Kazemi K, Safar HA et al (2001) Traumatic rupture of the thoracic aorta: cohort study and systematic review. J Vasc Surg 34:1029–1034

    Article  PubMed  CAS  Google Scholar 

  25. Jamieson WR, Janusz MT, Gudas VM et al (2002) Traumatic rupture of the thoracic aorta: third decade of experience. Am J Surg 183:571–575

    Article  PubMed  Google Scholar 

  26. Karmy-Jones R, Hoffer E, Meissner MH et al (2003) Endovascular stent grafts and aortic rupture: a case series. J Trauma 55:805–810

    PubMed  Google Scholar 

  27. Kroell C, Schnieder D, Nahum A (1974) Impact tolerance and response of the human thorax. In: 18th Stapp Car Crash Conference, Society of Automotive Engineers, Warrendale, Pa.

    Google Scholar 

  28. Kwon CC, Gill IS, Fallon WF et al (2002) Delayed operative intervention in the management of traumatic thoracic aortic rupture. Ann Thorac Surg 74:S1888–S1891

    Article  PubMed  Google Scholar 

  29. Langanay T, Verhoye JP, Corbineau H et al (2002) Surgical treatment of acute traumatic rupture of the thoracic aorta: a timing reappraisal? Eur J Cardiothorac Surg 21:282–287

    Article  PubMed  Google Scholar 

  30. Lundewall J (1964) The mechanics of traumatic rupture of the aorta. Acta Pathol Microbiol Scand 62:34–36

    Google Scholar 

  31. Magissano R, Nathens A, Alexandrova NA et al (1995) Traumatic rupture of the thoracic aorta: should one always operate immediately? Ann Vasc Surg 9:44–52

    Article  Google Scholar 

  32. Marty-Ane CH, Berthet JP, Branchereau P et al (2003) Endovascular repair for acute traumatic rupture of the thoracic aorta. Ann Thorac Surg 75:1803–1807

    Article  PubMed  Google Scholar 

  33. Mason JK (1978) The aircraft accident as an example of a major disaster. In: Mason JK (ed) The pathology of violent injury. Edward Arnold, London, pp 56–74

    Google Scholar 

  34. Meites G, Conil C, Rousseau H et al (2004) Indication of endovascular stent grafts for traumatic rupture of the thoracic aorta. Ann Fr Anesth Reanim 23:700–703

    Article  PubMed  CAS  Google Scholar 

  35. Melnitchouk S, Pfammatter Th, Kadner A et al (2004) Emergency stent-graft placement for hemorrhage control in acute thoracic aortic rupture. Eur J Cardiothorac Surg 25(6):1032–1038

    Article  PubMed  Google Scholar 

  36. Moar JJ (1985) Traumatic rupture of the thoracic aorta. An autopsy and histopathological study. S Afr Med J 67:383–385

    PubMed  CAS  Google Scholar 

  37. Morishita K, Kurimoto Y, Kawaharada N et al (2004) Descending thoracic aortic rupture: role of endovascular stentgraft. Ann Thorac Surg 78:1630–1634

    Article  PubMed  Google Scholar 

  38. Nishimoto M, Fukumoto H, Nishimoto Y et al (2003) Surgical treatment of traumatic thoracic aortic rupture. Jpn J Thorac Cardiovasc Surg 51:138–143

    Article  PubMed  Google Scholar 

  39. O’Conor CE (2004) Diagnosing traumatic rupture of the thoracic aorta in the emergency department. Emerg Med J 21:414–419

    PubMed  CAS  Google Scholar 

  40. Orend KH, Pamler R, Kapfer X et al (2002) Endovascular repair of traumatic descending aortic transection. J Endovasc Ther 9:573–578

    Article  PubMed  Google Scholar 

  41. Orford VP, Atkinson NR, Thomson K et al (2003) Blunt traumatic aortic transection: the endovascular experience. Ann Thorac Surg 75:106–111

    Article  PubMed  Google Scholar 

  42. Ott MC, Stewart TC, Lawlor DK et al (2004) Management of blunt thoracic aortic injuries: endovascular stents versus open repair. J Trauma 56:565–570

    PubMed  Google Scholar 

  43. Parmley LF, Mattingly TW, Manion WC et al (1958) Nonpenetrating traumatic injury of the aorta. Circulation 17:1086–1101

    PubMed  CAS  Google Scholar 

  44. Passaro E, Pace WG (1959) Traumatic rupture of the aorta. Surgery 46:787–791

    PubMed  Google Scholar 

  45. Pate JW, Fabian TC, Walker WA (1995) Acute traumatic rupture of the aortic isthmus: repair with cardiopulmonary bypass. Ann Thorac Surg 59:90–99

    Article  PubMed  CAS  Google Scholar 

  46. Pierangeli A, Turinetto B, Galli R et al (2000) Delayed treatment of isthmic aortic rupture. Cardiovasc Surg 8:280–283

    Article  PubMed  CAS  Google Scholar 

  47. Raptopoulos V, Sheiman RG, Philips DE et al (1992) Traumatic aortic tear: screening with chest CT. Radiology 182:667–673

    PubMed  CAS  Google Scholar 

  48. Ray G, Liu YK, Davids N (1975) Wall stress in curved aorta in blunt-chest trauma. In: Proceedings of the 28th Annual Conference on Engineering in Medicine and Biology, Alliance for Engineering in Medicine and Biology, 20–24 September, vol. 17, p 412

    Google Scholar 

  49. Richens D, Field M, Neale M et al (2002) The mechanism of injury in blunt traumatic rupture of the aorta. Eur J Cardiothorac Surg 21:288–293

    Article  PubMed  CAS  Google Scholar 

  50. Richens D, Kotidis K, Neale M et al (2003) Rupture of the aorta following road traffic accidents in the United Kingdom 1992–1999. The results of the co-operative crash injury study. Eur J Cardiothorac Surg 23:143–148

    Article  PubMed  CAS  Google Scholar 

  51. Rindfleish E (1893) Zur entstehung und heilung des Aneurysma dissecans Aortae. Virschow Arch Pathol Anat 374–378

    Google Scholar 

  52. Saletta S, Lederman E, Fein S et al (1995) Transoesophageal echocardiography for the initial evaluation of the widened mediastinum in trauma patients. J Trauma 39:137–142

    Article  PubMed  CAS  Google Scholar 

  53. Scaglione M, Pinto A, Pinto F et al (2001) Role of contrast-enhanced helical CT in the evaluation of acute thoracic aortic injuries after blunt chest trauma. Eur Radiol 11:2444–2448

    Article  PubMed  CAS  Google Scholar 

  54. Scheinert D, Krankenberg H, Schmidt A et al (2004) Endoluminal stent-graft placement for acute rupture of the descending aorta. Eur Heart J 25:694–700

    Article  PubMed  CAS  Google Scholar 

  55. Sweeney MS, Young DJ, Frazier OH et al (1997) Traumatic aortic transections: eight-year experience with the “clampsew” technique. Ann Thorac Surg 64:384–389

    Article  PubMed  CAS  Google Scholar 

  56. Symbas PN, Tyras DH, Ware RE et al (1973) Rupture of the aorta — a diagnostic triad. Ann Thorac Surg 15:405–410

    Article  PubMed  CAS  Google Scholar 

  57. Symbas PN, Sherman AJ, Silver JM et al (2002) Traumatic rupture of the aorta: immediate or delayed repair? Ann Surg 235:796–802

    Article  PubMed  Google Scholar 

  58. Tatou E, Steinmetz E, Jazayeri S et al (2000) Surgical outcome of traumatic rupture of the thoracic aorta. Ann Thorac Surg 69:70–73

    Article  PubMed  CAS  Google Scholar 

  59. Vignon P, Boncoeur MP, Francois B et al (2001) Comparison of multiplane transesophageal echocardiography and contrast-enhanced helical CT in the diagnosis of blunt traumatic cardiovascular injuries. Anesthesiology 94:615–622

    Article  PubMed  CAS  Google Scholar 

  60. Voight GE, Wifert K (1969) Mechanisms of injuries to unrestrained drivers in head-on collisions. In Proceedings of the 13th Stapp Car conference. Society of Automotive Engineers, New York, pp 295–313

    Google Scholar 

  61. Von Oppell UO, Dunne TT, De Groot MK et al (1994) Traumatic aortic rupture: twenty-year metaanalysis of mortality and risk of paraplegia. Ann Thorac Surg 58:585–593

    Article  Google Scholar 

  62. Wellons ED, Milner R, Solis M et al (2004) Stent-graft repair of traumatic thoracic aortic disruptions. J Vasc Surg 40:1095–1100

    Article  PubMed  Google Scholar 

  63. Wicky S, Capasso P, Meuli R et al (1998) Spiral aortography: an efficient technique for the diagnosis of traumatic aortic injury. Eur Radiol 8:828–823

    Article  PubMed  CAS  Google Scholar 

  64. Wilson RF (1991) Thoracic vascular trauma. In: Bongard F, Wilson SE, Perry MO (eds) Vascular injuries in surgical practice. Appleton and Lange, Norwalk, p 107

    Google Scholar 

  65. Woodring JH (1990) The normal mediastinum in blunt traumatic rupture of the thoracic aorta and brachiocephalic arteries. J Emerg Med 8:467–476

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Vascular Surgery, University Hospital Gasthuisberg, Leuven, Belgium

    A. Nevelsteen MD, PhD, FRCS, K. Daenens MD & I. Fourneau MD

Authors
  1. A. Nevelsteen MD, PhD, FRCS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Daenens MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. I. Fourneau MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Vascular Surgery Athens University Medical School, Attikon University Hospital, Athens, Greece

    Christos D. Liapis MD, FACS, FRCS

  2. Division of Vascular Surgery, Evangelisches Krankenhaus, Mülheim, Germany

    Klaus Balzer MD

  3. Department of Vascular Surgery, University of Rome “La Sapienza”, Rome, Italy

    Fabrizio Benedetti-Valentini MD

  4. Department of Vascular Surgery Hospital Santa Maria and Faculty of Medicine, Director Instituto Cardiovascular de Lisboa, Lisbon, Portugal

    José Fernandes e Fernandes MD, PhD (Chief of Service) (Chief of Service)

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Nevelsteen, A., Daenens, K., Fourneau, I. (2007). Trauma of the Thoracic Aorta. In: Liapis, C.D., Balzer, K., Benedetti-Valentini, F., Fernandes e Fernandes, J. (eds) Vascular Surgery. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-30956-7_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-30956-7_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-30955-0

  • Online ISBN: 978-3-540-30956-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation