Vascular injuries of the thoracic inlet and mediastinum present formidable difficulties in terms of exposure and management. The majority of patients with gunshot wounds to the thoracic aorta and brachiocephalic vessels do not reach the operating room alive, but those who do present unique problems for thoracic and vascular surgeons. In such cases, operative repair must be individualized and of...

157 Thoracic injury in a filly INTRODUCTION Thoracic injuries are relatively uncommon in horses and may follow blunt or penetrating trauma (1). The most common cause of trauma is collision with an inanimate object (2). Equine thoracic trauma may require rapid emergency measures in order to save the horse from life-threatening complications such as pneumothorax, hemothorax, pleuritis, diaphragma...

157 Thoracic injury in a filly INTRODUCTION Thoracic injuries are relatively uncommon in horses and may follow blunt or penetrating trauma (1). The most common cause of trauma is collision with an inanimate object (2). Equine thoracic trauma may require rapid emergency measures in order to save the horse from life-threatening complications such as pneumothorax, hemothorax, pleuritis, diaphragma...

First responders and military personnel are particularly susceptible to behind armor blunt thoracic trauma in occupational scenarios. The objective of this study was to develop an armored thorax injury risk criterion for short duration ballistic impacts. 9 cadavers and 2 anthropomorphic test dummies (AUSMAN and NIJ 0101.04 surrogate) were tested over a range of velocities encompassing low sever...

Thoracic trauma occurs frequently but seldom requires surgery (10-20%, [1]). The mortality rate for gunshot wound of the chest varies from 14.3 to 36.8% [2]. We report, herein an example of bullet injury to the pulmonary artery (PA) following a thoracic gunshot wound. This patient had previous history of coronary surgery. Absolute and relative indications for exploratory thoracotomy in emergenc...

Thoracic endovascular aortic repair (TEVAR) has evolved as a treatment option for the management of thoracic aortic trauma as an alternative to open thoracic aortic repair (OTAR). Population-level outcomes are not known and were evaluated. Secondary data analysis of the 2005-2006 Nationwide Inpatient Sample data was performed, and 1,561 patients with thoracic aortic injury (mean age 44.8 +/- 18...

OBJECTIVE To review the results of endovascular treatment of acute thoracic aortic diseases in a group of Chinese patients. DESIGN Retrospective study. SETTING A tertiary referral hospital with a cardiothoracic surgery service. PATIENTS All 15 patients presenting with acute thoracic aortic diseases between September 2001 and October 2005 inclusive, of whom eight had traumatic rupture, fou...

cardiac laceration from blunt thoracic trauma is not a common presentation. the rate of mortality due to this injury is very high since it is not diagnosed and treated immediately. in this study, we present the case of a 65-year-old man with blunt cardiac trauma, causing right atrial rupture and pericardial tamponade. successful management of this patient was firstly done with initial pericardi...

Thoracic endovascular aortic repair for blunt thoracic aortic injury in young adults with small aortic diameter often encounters high difficulty. We report, to our knowledge, the first case of successful treatment using combination of iliac leg and abdominal aortic cuff stent-graft.