Thoracic aorta

Traumatic transection

Daniel M. Alterman, Michael Freeman

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Thoracic aortic injury (TAI) is the second most common cause of death in blunt injuries. Most of these injuries occur at the aortic isthmus (ligamentum arteriosum) where the relatively mobile aortic arch can be displaced against the fixed descending aorta during sudden deceleration. With increased utilization of CT-angiogram in surveillance of the traumatically injured patient, as well as improved image resolution, a wide spectrum of traumatic aortic injuries has been identified. Four grades of traumatic aortic injury have been defined; however, not all of these injuries will require emergent treatment. Historically the morbidity of open surgical repair has been significant, particularly in the multiple-injured patient that may have associated brain, pulmonary, abdominal, and/or orthopedic injuries. Thoracic endovascular aortic repair (TEVAR), which has been used to treat degenerative aneurysms, is emerging as a lower-risk and effective way to treat TAI.

Original languageEnglish (US)
Title of host publicationEndovascular Interventions
Subtitle of host publicationA Case-Based Approach
PublisherSpringer New York
Pages295-300
Number of pages6
ISBN (Electronic)9781461473121
ISBN (Print)9781461473114
DOIs
StatePublished - Jan 1 2014

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Thoracic Aorta
Wounds and Injuries
Thoracic Injuries
Nonpenetrating Wounds
Deceleration
Orthopedics
Aneurysm
Cause of Death
Angiography
Thorax
Morbidity
Lung
Brain
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Alterman, D. M., & Freeman, M. (2014). Thoracic aorta: Traumatic transection. In Endovascular Interventions: A Case-Based Approach (pp. 295-300). Springer New York. https://doi.org/10.1007/978-1-4614-7312-1_24

Thoracic aorta : Traumatic transection. / Alterman, Daniel M.; Freeman, Michael.

Endovascular Interventions: A Case-Based Approach. Springer New York, 2014. p. 295-300.

Research output: Chapter in Book/Report/Conference proceedingChapter

Alterman, DM & Freeman, M 2014, Thoracic aorta: Traumatic transection. in Endovascular Interventions: A Case-Based Approach. Springer New York, pp. 295-300. https://doi.org/10.1007/978-1-4614-7312-1_24
Alterman DM, Freeman M. Thoracic aorta: Traumatic transection. In Endovascular Interventions: A Case-Based Approach. Springer New York. 2014. p. 295-300 https://doi.org/10.1007/978-1-4614-7312-1_24
Alterman, Daniel M. ; Freeman, Michael. / Thoracic aorta : Traumatic transection. Endovascular Interventions: A Case-Based Approach. Springer New York, 2014. pp. 295-300
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