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

Publisher Full Text

Authors

Rheaume P, Chen J, Casey P

Institution

Division of Vascular Surgery, Vancouver General Hospital & University of British Columbia, British Columbia, Canada.

Source

Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter 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