HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Marsh, D. G. Articles by Sturm, J. T. Search for Related Content PubMed PubMed Citation Articles by Marsh, D. G. Articles by Sturm, J. T.

Ann Thorac Surg 1976;21:337-340
© 1976 The Society of Thoracic Surgeons

---

Articles

Traumatic Aortic Rupture: Roentgenographic Indications for Angiography

From the Departments of Radiology and Surgery, Saint Paul-Ramsey Hospital, St Paul, and the University of Minnesota Health Sciences Center, Minneapolis, MN.

Accepted for publication August 14, 1975.

^* Address reprint requests to Dr. Sturm, Department of Surgery, Saint Paul–Ramsey Hospital, Minneapolis, MN 55101

The principal radiological indication for thoracic aortography following blunt chest trauma has been a widened mediastinum on chest roentgenogram. The presence or absence of sixteen findings on 100 cm anteroposterior supine chest roentgenograms were noted and compared in 47 consecutive patients who underwent aortography following blunt thoracic trauma and 100 patients without trauma. On the basis of our data, we propose six radiological indications for thoracic aortography following chest trauma: mediastinum greater than 8 cm on 100 cm AP supine chest film; tracheal shift to the right; blurring of the normally sharp outline of the aorta; obliteration of the medial aspect of the apex of the left upper lobe; opacification of the clear space between the aorta and pulmonary artery; and depression of the left main bronchus below 40 degrees.

This article has been cited by other articles:

				C E O'Conor Diagnosing traumatic rupture of the thoracic aorta in the emergency department Emerg. Med. J., July 1, 2004; 21(4): 414 - 419. [Abstract] [Full Text] [PDF]

				C E Gleeson, R L Spedding, L A Harding, and M Caplan The mediastinum--Is it wide? Emerg. Med. J., May 1, 2001; 18(3): 183 - 185. [Abstract] [Full Text]

				C. C. Blackmore, A. Zweibel, and F. A. Mann Determining Risk of Traumatic Aortic Injury: How to Optimize Imaging Strategy Am. J. Roentgenol., February 1, 2000; 174(2): 343 - 347. [Abstract] [Full Text] [PDF]

				D. G. Blanchard, B. J. Kimura, H. C. Dittrich, and A. N. DeMaria Transesophageal Echocardiography of the Aorta JAMA, August 17, 1994; 272(7): 546 - 551. [Abstract] [PDF]

				M. B. Sparks, K. W. Burchard, C. A. S. Marrin, C. H. G. Bean, W. C. Nugent Jr, and J. F. Plehn Transesophageal Echocardiography: Preliminary Results in Patients With Traumatic Aortic Rupture Arch Surg, June 1, 1991; 126(6): 711 - 714. [Abstract] [PDF]

				F. Pinterits, F. Grabenwoeger, W. Dock, V. Metz, and W. Appel Chest Radiograph in the Acute Traumatic Rupture of the Aorta Vascular and Endovascular Surgery, March 1, 1989; 23(2): 122 - 127. [Abstract] [PDF]

				H. B. Kram, P. L. Appel, D. A. Wohlmuth, and W. C. Shoemaker Diagnosis of traumatic thoracic aortic rupture: A 10-year retrospective analysis Ann. Thorac. Surg., February 1, 1989; 47(2): 282 - 286. [Abstract] [PDF]

				S. R. Shackford Analytic Review: Blunt Chest Trauma: The Intensivist's Perspective J Intensive Care Med, May 1, 1986; 1(3): 125 - 136. [Abstract] [PDF]

				C. A. Schmidt and J. G. Jacobson Thoracic Aortic Injury: A Ten-Year Experience Arch Surg, November 1, 1984; 119(11): 1244 - 1246. [Abstract] [PDF]

				J. H. Woodring and M. L. Dillon Radiographic Manifestations of Mediastinal Hemorrhage from Blunt Chest Trauma Ann. Thorac. Surg., February 1, 1984; 37(2): 171 - 178. [Abstract] [PDF]

				R. Kirshner, S. Seltzer, C. D'Orsi, and J. A. DeWeese Upper Rib Fractures and Mediastinal Widening: Indications for Aortography Ann. Thorac. Surg., April 1, 1983; 35(4): 450 - 454. [Abstract] [PDF]

				P. Stulz, A. Perruchoud, J. Hasse, and E. Gradel Traumatic Aneurysm of the Thoracic Aorta Simulating Bronchogenic Neoplasm Arch Intern Med, January 1, 1983; 143(1): 174 - 175. [Abstract] [PDF]

				J. Sturm Traumatic Aortic Rupture Ann. Thorac. Surg., April 1, 1979; 27(4): 390 - 390. [PDF]

				S. Plume and J. A. DeWeese Traumatic Rupture of the Thoracic Aorta Arch Surg, March 1, 1979; 114(3): 240 - 243. [Abstract] [PDF]

				J. M. Wilson, A. N. Thomas, P. C. Goodman, and F. R. Lewis Severe Chest Trauma: Morbidity Implication of First and Second Rib Fracture in 120 Patients Arch Surg, July 1, 1978; 113(7): 846 - 849. [Abstract] [PDF]

				J. B. McIlduff, E. D. Foster, and R. D. Alley Traumatic Aortic Rupture: An Additional Roentgenographic Sign Ann. Thorac. Surg., July 1, 1977; 24(1): 77 - 79. [Abstract] [PDF]