Document Detail


Evaluation of aortic injury in driver fatalities occurring in motor vehicle accidents in the State of Maryland for 2003 and 2004.
MedLine Citation:
PMID:  18520477     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Incorporating epidemiological and pathologic factors, a retrospective analysis of aortic injury and driving fatalities was conducted. To better understand the mechanism of injury, data were compiled for decedent demographics, autopsy and toxicology findings, and accident circumstances, with emphasis on directional impact. Review of the autopsy files of the Office of the Chief Medical Examiner in the State of Maryland in 2003 and 2004, identified 150 cases of aortic injury recorded in 537 autopsied drivers. Aortic lacerations occurred in 96% of the cases with aortic injury, two thirds of which were complete or near complete transections. A large percentage of cases involved a side impact collision. Consistent with extant research on frontal and lateral impacts, the majority of aortic injuries occurred at the ligamentum arteriosum. Also, the mechanism of aortic injury seems to be similar for side and frontal impact collisions, involving a combination of rapid deceleration forces along with chest and/or upper abdominal compression. This study emphasizes the importance of side impact collisions as a cause of aortic injury. Aortic lacerations have a high mortality rate and better motor vehicle design may prevent this type of injury.
Authors:
Mary G Ripple; Jami R Grant; Joan Mealey; David R Fowler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of forensic medicine and pathology     Volume:  29     ISSN:  1533-404X     ISO Abbreviation:  Am J Forensic Med Pathol     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-03     Completed Date:  2008-06-17     Revised Date:  2011-02-02    
Medline Journal Info:
Nlm Unique ID:  8108948     Medline TA:  Am J Forensic Med Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  123-7     Citation Subset:  IM    
Affiliation:
Office of the Chief Medical Examiner, Baltimore, MD, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic / mortality*
Adolescent
Adult
Aged
Aged, 80 and over
Aorta / injuries*,  pathology*
Coroners and Medical Examiners
Female
Humans
Lacerations / mortality
Male
Maryland / epidemiology
Middle Aged
Retrospective Studies
Substance Abuse Detection

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


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