Contemporary Thoracic Aortic and Abdominal Injuries: An Emergency Strategy

Traumatic Thoracic Aortic Injuries

T raumatic blunt injury to the thoracic aorta is one of the most formidable challenges surgeons face. This devastating condition can lead to immediate death at the time of injury in the majority of cases, due in part to either aortic transection or acute rupture.1 Although blunt aortic injury accounts for less than 1% of all adult level I trauma center admissions, this condition represents the ...

Thoracic and abdominal aortic aneurysms.

Aneurysms of the aorta are at times evaluated and treated by physicians from a number of specialties. Indeed, whereas cardiac surgeons operate on the ascending aorta and arch and vascular surgeons manage abdominal aortic aneurysms, at present the responsibility often falls to cardiologists to oversee the medical care of patients with aortic disease of all types. However, although formally train...

Microembolization from an abdominal aortic aneurysm after thoracic aortic replacement.

A 66-year-old man with thoracic and abdominal aortic aneurysm suffered from microembolism in the lower extremities after total arch replacement. He presented with livedo reticularis with palpable peripheral pulses, and the serum creatinine kinase level elevated up to 7,695. The abdominal aortic aneurysm, but not the thoracic aorta, was the origin of this complication. The morphological change o...

[Thoracic and abdominal injuries in childhood].

Endovascular management of traumatic thoracic aortic injuries.

BACKGROUND Endovascular surgery has recently been extended to the treatment of blunt traumatic aortic injuries. Since most of these injuries occur at the aortic isthmus, graft fixation in proximity to the origin of the left subclavian artery (LSA) has been a concern. Covering the LSA with graft fabric lengthens the proximal fixation site and should minimize proximal endoleaks. We therefore wish...