Document Detail

Traumatic lacerations of the aorta and great vessels with a normal mediastinum at radiography.
MedLine Citation:
PMID:  1515725     Owner:  NLM     Status:  MEDLINE    
The possibility of a "normal" mediastinum at conventional chest radiography in a patient with a lacerated aorta or great vessel from blunt thoracic trauma has not been evaluated objectively. All 1991 members of the Society of Thoracic Radiology were sent a questionnaire asking for examples of such cases. A similar questionnaire was placed in the newsletter of the Society of Cardiovascular and Interventional Radiology. The literature also was reviewed for cases. Seventy-eight of 327 questionnaires were returned with responses. Eight responders reported 12 examples of a normal mediastinum radiograph in a patient with a lacerated aorta. Review of the same radiographs by the authors yielded three normal and nine subtly abnormal mediastina. One additional normal radiograph was obtained of a patient with a lacerated great vessel. Another 16 cases of lacerated aortae (n = 12) and great vessels (n = 4) in patients with normal mediastina were found through a literature search; images from three of these were reviewed by the authors. Although this is an infrequent event, the mediastinum can be normal at plain chest radiography with traumatic lacerations of the aorta and great vessels.
A M Cohen; J R Crass
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  3     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-10-08     Completed Date:  1992-10-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  541-4     Citation Subset:  IM    
Department of Radiology, Case Western University, Cleveland, OH.
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MeSH Terms
Mediastinum / radiography*
Radiography, Thoracic*
Reference Values
Thoracic Injuries / radiography*
Wounds, Nonpenetrating / radiography*

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