ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Rabinsky, I.
Right arrow Articles by Wagner, R. B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rabinsky, I.
Right arrow Articles by Wagner, R. B.

The Annals of Thoracic Surgery, Vol 50, 155-160, Copyright © 1990 by The Society of Thoracic Surgeons


ARTICLES

Mid-descending aortic traumatic aneurysms

I Rabinsky, GS Sidhu and RB Wagner
Department of Surgery, Prince Georges Hospital Center, Cheverly, Maryland.

Two patients with traumatic rupture of the mid-descending aorta successfully repaired are presented. Most clinical series of aortic tears do not include this entity. A review of the world literature reveals only 9 previous cases. In 6 of the 11 patients the diagnosis was either missed or delayed. In 4 patients the diagnosis was delayed or missed because of the absence of a superior mediastinal hematoma, and in 2 patients the diagnosis was delayed because of inadequate (single-plane) aortography. Suspicion may be lacking because of absence of the upper mediastinal hematoma considered to be the sine qua non for the diagnosis of aortic rupture. Although deceleration is considered to be the mechanism of injury in tears at the isthmus, severe hyperextension (often associated with fracture dislocation of the underlying thoracic vertebra) is considered to be the causative factor in descending aortic tears. Experience with the 2 patients presented here demonstrates that a high index of suspicion and complete two-plane aortography is required to avoid the potential for catastrophic outcome subsequent to overlooking a tear of the mid-descending aorta.


This article has been cited by other articles:


Home page
Card Surg AdultHome page
T. G. Gleason and J. E. Bavaria
Trauma to the Great Vessels
Card. Surg. Adult, January 1, 2008; 3(2008): 1333 - 1354.
[Full Text]


Home page
Card Surg AdultHome page
T. G. Gleason and J. E. Bavaria
Trauma to Great Vessels
Card. Surg. Adult, January 1, 2003; 2(2003): 1229 - 1250.
[Full Text]


Home page
Ann. Thorac. Surg.Home page
R. A. Lancey, G. P. Davliakos, and T. J. Vander Salm
Simultaneous Repair of Multiple Traumatic Aortic Tears
Ann. Thorac. Surg., October 1, 1995; 60(4): 1120 - 1121.
[Abstract] [Full Text]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1990 by The Society of Thoracic Surgeons.