학술논문

Current diagnosis and management of blunt traumatic rupture of the thoracic aorta
Document Type
article
Source
Jornal Vascular Brasileiro. March 2007 6(1)
Subject
Thoracic trauma
thoracic aorta
thoracic aortic rupture
endovascular repair
endoprosthesis
stent graft
paraplegia
Language
English
ISSN
1677-5449
Abstract
The diagnosis and management of aortic lacerations has been gradually improving. Historically, aortic lacerations were a common cause of exsanguination with extremely high mortality rate. However, in modern trauma systems with advanced resuscitation and rapid radiology imaging, the diagnosis of an aortic injury is improving with an emphasis on preventing the progression of intimal flaps and pseudoaneurysms to frank dissection or rupture. Both diagnostic modalities and the paradigm of immediate operative intervention have changed. The evolution of endovascular stenting may play a future role in definitive care.