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Ann Thorac Surg 2007;83:1234-1235
© 2007 The Society of Thoracic Surgeons

Correspondence

Blunt Diaphragmatic Rupture Mandates a Search for Blunt Aortic Injury: An Update

Talat S. Chughtai, MD, Philip Sharkey, MHK, Fred Brenneman, MD, Sandro Rizoli, MD

Department of Surgery and the Trauma Program, Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Ave, Suite H1-71, Toronto, Ontario, M4N 3M5 Canada

(Email: sandro.rizoli@sunnybrook.ca).

The first 20% of the full text of this article appears below.

To the Editor:

We previously reported on the emerging injury complex of blunt diaphragm rupture (BDR) and blunt aortic injury (BAI) [1]. After reviewing 10 additional years of experience and data, we found that this important association remains present today.

The results show that a total of 9,734 blunt trauma patients were treated at Sunnybrook Regional Trauma Unit from January 1986 to December 2003 (18 years). Of these, 176 patients were identified from the trauma registry as having suffered BDR at a rate of 1.8%. The rate of BAI overall in blunt trauma patients was 1.2% during the study period. Of the 176 patients with BDR, 13 patients also had an associated BAI at a rate of 7.4%. As such, patients with BDR had approximately a 6 times increased risk of suffering an associated BAI.

Review of these 13 cases revealed the following: mean age of 42 years, 31% were male, 77% were secondary to motor vehicle collisions (MVC), and mean injury severity score was 48. Their mean length of stay in the hospital was 38 . . . [Full Text of this Article]






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