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Ann Thorac Surg 1999;68:1116-1117
© 1999 The Society of Thoracic Surgeons


Key References

Traumatic injury to the thoracic aorta

A. Tayfun Gurbuz, MDa, Darryl S. Weiman, MDa, James W. Pate, MDa

a Division of Cardiothoracic Surgery, Department of Surgery, The University of Tennessee Health Sciences Center, Memphis, Tennessee, USA

Address reprint requests to Dr Weiman, 956 Court Ave, Suite G212, Memphis, TN 38163

History

  1. Eisman B, Rainer WG. Clinical management of post-traumatic rupture of the aorta. J Thoracic Surg 1958;35:347–58.
  2. Parmley LF, Mattingly TW, Manion WJ, Jahnke EJ. Nonpenetrating traumatic injury of the aorta. Circulation 1958;17:1086–101.[Medline]
Mechanism and Pathology

  1. Greendyke RM. Traumatic rupture of the aorta. JAMA 1966;195:119–22.[Abstract/Free Full Text]
  2. Sevitt S. The mechanisms of traumatic rupture of the thoracic aorta. Br J Surg 1977;64:166–73.[Medline]
  3. Feczko JD, Lynch L, Pless JE, Clark MA, McClain J, Hawley DA. An autopsy case review of 142 nonpenetrating (blunt) injuries of the aorta. J Trauma 1992;33:846–9.[Medline]
  4. Williams JS, Graff JA, Uku JM, Steinig JP. Aortic injury in vehicular trauma. Ann Thorac Surg 1994;57:726–30.[Abstract]
Clinical Findings and Diagnosis

  1. Symbas PN, Tyras DH, Ware RE, Diorio DA. Traumatic rupture of the aorta. Ann Surg 1973;178:6–12.[Medline]
  2. Sturm JT, Perry JF, Olson FR, Cicero JJ. Significance of symptoms and signs in patients with traumatic aortic rupture. Ann Emerg Med 1984;13:876–8.[Medline]
  3. Woodring JH, Dillon ML. Radiographic manifestations of mediastinal hemorrhage from blunt chest trauma. Ann Thorac Surg 1984;37:171–8.[Abstract]
  4. Marnocha KE, Maglinte DDT, Woods J, et al. Blunt chest trauma and suspected aortic rupture: reliability of chest radiograph findings. Ann Emerg Med 1985;14:644–9.[Medline]
  5. Mirvis SE, Bidwell JK, Buddemeyer EU, Diaconis JN, Pais SO, Whitley JE. Imaging diagnosis of traumatic aortic rupture: a review and experience at a major trauma center. Invest Radiol 1987;22:187–96.[Medline]
  6. Dalldorf PG, McCarthy MC, Tarver RD, et al. Traumatic rupture of the aorta. Indications for aortography. Am Surg 1990;56:500–3.[Medline]
  7. Hunink MG, Bos JJ. Triage of patients to angiography for detection of aortic rupture after blunt chest trauma: cost effectiveness analysis of using CT. Am J Radiol 1995;165:27–36.[Abstract/Free Full Text]
  8. Gavant ML, Flick P, Menke P, Gold RE. CT Aortography of thoracic aortic rupture. Am J Radiol 1996;166:955–61.[Abstract/Free Full Text]
  9. Fabian TC, Davis KA, Gavant ML, et al. Prospective study of blunt aortic injury. Helical CT is diagnostic and antihypertensive treatment therapy reduces rupture. Ann Surg 1998;227:666–77.[Medline]
  10. Demetriades D, Gomez H, Velmahos GC, et al. Routine helical computed tomographic evaluation of the mediastinum in high risk blunt trauma patients. Arch Surg 1998;133:1084–8.[Abstract/Free Full Text]
  11. Morse SS, Glickman MG, Greenwood LH, et al. Traumatic aortic rupture: false positive aortographic diagnosis due to atypical ductus diverticulum. Am J Radiol 1988;150:793–6.[Abstract/Free Full Text]
  12. Ahrar K, Smith DC, Bansal RC, Razzouk A, Catalano RD. Angiography in blunt thoracic aortic injury. J Trauma 1997;42:665–9.[Medline]
  13. Vignon P, Gueret P, Vedrinne JM, et al. Role of transesophageal echocardiography in the diagnosis and management of traumatic aortic disruption. Circulation 1995;92:2960–8.
  14. Minard G, Schurr MJ, Croce MA, et al. A prospective analysis of transesophageal echocardiography in the diagnosis of traumatic disruption of the aorta. J Trauma 1996;40:225–30.[Medline]
  15. Williams DM, Simon HJ, Marx MV, Starkey TD. Acute traumatic aortic rupture: intravascular ultrasound findings. Radiology 1992;182:247–9.[Abstract/Free Full Text]
Treatment

  1. Cowley RA, Turney SZ, Hankins JR, Rodriguez A, Attar S, Shankar BS. Rupture of the thoracic aorta caused by blunt trauma. A fifteen year experience. J Thorac Cardiovasc Surg 1990;100:652–61.[Abstract]
  2. Kodali S, Jamieson WRE, Leia-Stephens M, Miyagishima RT, Janusz MT, Tyers GFO. Traumatic rupture of the thoracic aorta. Circulation 1991;84(Suppl III):40–6.[Abstract/Free Full Text]
  3. Duhaylongsod FG, Glower DD, Wolfe WG. Acute traumatic aortic aneurysm: the Duke experience from 1970 to 1990. J Vasc Surg 1992;15:331–43.[Medline]
  4. Turney SZ. Blunt trauma of the thoracic aorta and its branches. Semin Thorac Cardiovasc Surg 1992;4:209–16.[Medline]
  5. Akins CW, Buckley MJ, Daggett W, McIlduff JB, Austen G. Acute traumatic disruption of the aorta: a ten year experience. Ann Thorac Surg 1981;31:305–9.[Abstract]
  6. Pate JW, Fabian TC, Walker W. Traumatic rupture of the aortic isthmus: an emergency? World J Surg 1995;19:119–26.
  7. Walker WA, Pate JW. Medical management of acute traumatic rupture of the aorta. Ann Thorac Surg 1990;50:965–7.[Abstract]
  8. Katz NM, Blackstone EH, Kirklin JW, Karp RB. Incremental risk factors for spinal cord injury following operation for acute traumatic aortic transection. J Thorac Cardiovasc Surg 1981;81:669–74.[Abstract]
  9. Laschinger JC. Spinal cord injury following surgical correction of acute aortic disruption. Semin Thorac Cardiovasc Surg 1992;4:217–22.[Medline]
  10. Acher CW, Wynn MM. Multifactorial nature of spinal cord circulation. Semin Thorac Cardiovasc Surg 1998;10:7–10.[Medline]
  11. Orringer MB, Kirsh MM. Primary repair of acute traumatic aortic disruption. Ann Thorac Surg 1983;35:672–5.[Abstract]
  12. Mattox KL, Holzman M, Pickard LR, Beall AC, DeBakey ME. Clamp/repair: a safe technique for treatment of blunt injury to the descending thoracic aorta. Ann Thorac Surg 1985;40:456–63.[Abstract]
  13. Molina JE, Cogordan J, Einizig S, et al. Adequacy of ascending-descending aorta shunt during cross clamping of the thoracic aorta for prevention of spinal cord injury. J Thorac Cardiovasc Surg 1985;90:126–36.[Abstract]
  14. Verdant A. Descending thoracic aortic aneurysms: surgical treatment with the Gott shunt. Can J Surg 1992;35:493–6.[Medline]
  15. Olivier HF, Maher TD, Liebler GA, Park SB, Burkholder JA, Magovern GJ. Use of the BioMedicus centrifugal pump in traumatic tears of the thoracic aorta. Ann Thorac Surg 1984;38:586–91.[Abstract]
  16. Hess PJ, Howe HR Jr, Robicsek F, et al. Traumatic tears of the thoracic aorta: improved results using the BioMedicus pump. Ann Thorac Surg 1989;48:6–9.[Abstract]
  17. Higgins RSD, Sanchez JA, DeGuidis L, et al. Mechanical circulatory support decreases neurologic complications in the treatment of traumatic injures of the thoracic aorta. Arch Surg 1992;127:516–9.[Abstract/Free Full Text]
  18. Pate JW, Fabian TC, Walker WA. Acute traumatic rupture of the aortic isthmus: repair with cardiopulmonary bypass. Ann Thorac Surg 1995;59:90–9.[Abstract/Free Full Text]
  19. Contino JP, Folette DM, Berkoff HA, Pollock ME, Bogren H, Wisner DH. Use of Carmeda-coated femoral-femoral bypass during repair of traumatic aortic pseudoaneurysms. Arch Surg 1994;129:933–9.[Abstract/Free Full Text]
  20. Fabian TC, Richardson JD, Croce MA, et al. Prospective study of blunt aortic injury: multicenter trial of the American Association for Surgery of Trauma. J Trauma 1997;42:374–83.[Medline]
  21. Von Oppel UO, Dunne TT, De Groot MK, Zilla P. Traumatic aortic rupture: twenty year meta analysis of mortality and risk of paraplegia. Ann Thorac Surg 1994;58:585–93.[Abstract]
  22. Fisher RG, Oria RA, Mattox KL, Whigham CJ, Pickard LR. Conservative management of aortic lacerations due to blunt trauma. J Trauma 1990;30:1562–6.[Medline]
  23. Katsumata T, Shinfeld A, Westaby S. Operation for chronic traumatic aortic aneurysm: when and how? Ann Thorac Surg 1998;66:774–8.
  24. Finkelmeier BA, Mentzer RM, Kaiser DL, Tegtmeyer CJ, Nolan SP. Chronic traumatic thoracic aneurysm. Influence of operative treatment on natural history: an analysis of reported cases 1950–80. J Thorac Cardiovasc Surg 1982;84:257–66.[Abstract]
  25. Kato N, Dake MD, Miller DC, et al. Traumatic thoracic aortic aneurysm: treatment with endovascular stent-grafts. Radiology 1997;205:657–62.[Abstract/Free Full Text]
  26. Trachiotis GD, Sell JE, Pearson GD, Martin GR, Midgley FM. Traumatic thoracic aortic rupture in the pediatric patient. Ann Thorac Surg 1996;62:724–32.[Abstract/Free Full Text]
Survival

  1. Cernaianu AC, Cilley JH, Baldino WA, Spence RK, DelRossi AJ. Determinants of outcome in lesions of the thoracic aorta in patients with multiorgan system trauma. Chest 1992;101:331–5.[Abstract/Free Full Text]
  2. Nicolosi AC, Almassi GH, Bousamra MII, Haasler GB, Olinger GN. Mortality and morbidity after repair of traumatic aortic disruption. Ann Thorac Surg 1996;61:875–8.[Abstract/Free Full Text]
  3. Camp PC, Shackford SR. Outcome after blunt traumatic aortic laceration: identification of a high risk cohort. J Trauma 1997;43:413–23.[Medline]




This Article
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Right arrow Author home page(s):
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James W. Pate
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