Unbound MEDLINE

Open vs endovascular repair of blunt traumatic thoracic aortic injuries.

Abstract

A 42-year-old female is involved in a motor vehicle accident and presents with a number of injuries. She is hemodynamically stable and is found to have multiple rib fractures, a hemopneumothorax, and several uncomplicated long bone fractures. A CT scan of her chest reveals a traumatic injury to her proximal descending thoracic aorta with evidence of pseudoaneurysm formation and surrounding hematoma (Fig 1). The following debate attempts to resolve whether open repair remains the gold standard for the treatment of blunt thoracic aortic injuries.

Links

  • FREE Publisher Full Text
  • Authors

    Rheaume P, Chen J, Casey P

    Source

    Journal of vascular surgery 51:3 2010 Mar pg 763-9

    MeSH

    Accidents, Traffic
    Adult
    Aneurysm, False
    Aorta, Thoracic
    Aortic Aneurysm, Thoracic
    Aortography
    Evidence-Based Medicine
    Female
    Hematoma
    Humans
    Patient Selection
    Practice Guidelines as Topic
    Risk Assessment
    Tomography, X-Ray Computed
    Treatment Outcome
    Vascular Surgical Procedures
    Wounds and Injuries

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    20206817