Document Detail

Angiography in blunt thoracic aortic injury.
MedLine Citation:
PMID:  9137255     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Recent studies have suggested that transesophageal echocardiography (TEE) can be used as the primary imaging method in patients suspected of traumatic rupture of the thoracic aorta. A segment of the aorta and the aortic arch branches cannot be adequately evaluated in all patients by TEE. To assess the impact of these limitations of TEE, this retrospective study examined the aortographic features of traumatic aortic or great vessel injuries in a large number of patients. MATERIALS AND METHODS: We retrospectively reviewed clinical and imaging features of 89 patients with a history of blunt chest trauma and angiographic evidence of traumatic injury to the thoracic aorta or to its branches. RESULTS: Of these 89 patients, 72 had aortic rupture alone. One (1%) of these ruptures occurred at the distal ascending aorta, a potential blind spot for TEE. Seventeen patients (19%) had 24 injuries to the aortic arch branches: in 14 of these 17 patients, the aorta was intact, whereas three patients also had aortic rupture. Seventy percent of the injuries to the aortic arch branches were not suspected on physical examination. CONCLUSION: Twenty percent of patients in our retrospective series had traumatic involvement of aortic arch branches or the distal ascending aorta. These vascular injuries may be suboptimally assessed or overlooked if TEE is used as the sole imaging modality in the evaluation of patients with blunt chest trauma.
K Ahrar; D C Smith; R C Bansal; A Razzouk; R D Catalano
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  42     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-05-22     Completed Date:  1997-05-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  665-9     Citation Subset:  AIM; IM    
Department of Radiology, Loma Linda University Medical Center, California 92354, USA.
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MeSH Terms
Aged, 80 and over
Aorta, Thoracic / injuries*
Aortic Rupture / radiography*,  ultrasonography
Aortography / standards*
Echocardiography, Transesophageal / standards*
Middle Aged
Retrospective Studies
Sensitivity and Specificity
Wounds, Nonpenetrating / radiography*,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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