| Traumatic aortic injury: computerized tomographic findings at presentation and after conservative therapy. | |
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MedLine Citation:
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PMID: 20498542 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the computerized tomographic (CT) findings in traumatic aortic injury (TAI) at presentation and after conservative management. METHODS: Institutional review board-approved retrospective review of trauma registry during a 6-year period identified class 1 or 2 trauma patients with TAI. The CT findings were correlated with patient outcome. RESULTS: Forty-eight of 3350 patients had TAI. Seven had TAI limited to the abdominal aorta. Twenty-nine of 48 had early (12) or delayed (17) aortic repair. Common abnormalities were pseudoaneurysms (69%) and intramural hematoma (IMH) (65%). Forty-one of 48 TAI were confirmed on endovascular imaging or surgery. Subsequent CT was available in those who had delayed repair (n = 9) or conservative management (10) and showed stable pseudoaneurysms with resolving IMH (n = 11), resolving IMH (n = 4), intimal flap (n = 2), aortic thrombus (n = 1), and dissection (n = 1). CONCLUSIONS: Traumatic aortic injury is rare. It commonly involves thoracic aorta with pseudoaneurysm and IMH. Significant TAI in stable patients remains stable on follow-up imaging. Minor TAI may resolve with conservative therapy. |
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Authors:
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Farid Aladham; Baskaran Sundaram; David M Williams; Leslie E Quint |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of computer assisted tomography Volume: 34 ISSN: 1532-3145 ISO Abbreviation: J Comput Assist Tomogr Publication Date: 2010 May-Jun |
Date Detail:
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Created Date: 2010-05-25 Completed Date: 2010-06-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7703942 Medline TA: J Comput Assist Tomogr Country: United States |
Other Details:
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Languages: eng Pagination: 388-94 Citation Subset: IM |
Affiliation:
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Department of Radiology, University of Michigan Health System, Ann Arbor, MI, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Aneurysm, Dissecting / radiography Aneurysm, False / radiography Aorta, Abdominal / injuries*, radiography Aorta, Thoracic / injuries*, radiography Aortic Aneurysm / radiography Aortography / methods* Child Female Hematoma / etiology, radiography Humans Male Middle Aged Retrospective Studies Tomography, X-Ray Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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