Traumatic aortic injury: computerized tomographic findings at presentation and after conservative therapy.
J Comput Assist Tomogr
; 34(3): 388-94, 2010.
Article
em En
| MEDLINE
| ID: mdl-20498542
ABSTRACT
OBJECTIVE:
To determine the computerized tomographic (CT) findings in traumatic aortic injury (TAI) at presentation and after conservative management.METHODS:
Institutional review board-approved retrospective review of trauma registry during a 6-year period identified class 1 or 2 trauma patients with TAI. The CT findings were correlated with patient outcome.RESULTS:
Forty-eight of 3350 patients had TAI. Seven had TAI limited to the abdominal aorta. Twenty-nine of 48 had early (12) or delayed (17) aortic repair. Common abnormalities were pseudoaneurysms (69%) and intramural hematoma (IMH) (65%). Forty-one of 48 TAI were confirmed on endovascular imaging or surgery. Subsequent CT was available in those who had delayed repair (n = 9) or conservative management (10) and showed stable pseudoaneurysms with resolving IMH (n = 11), resolving IMH (n = 4), intimal flap (n = 2), aortic thrombus (n = 1), and dissection (n = 1).CONCLUSIONS:
Traumatic aortic injury is rare. It commonly involves thoracic aorta with pseudoaneurysm and IMH. Significant TAI in stable patients remains stable on follow-up imaging. Minor TAI may resolve with conservative therapy.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Aorta Abdominal
/
Aorta Torácica
/
Aortografia
/
Tomografia Computadorizada por Raios X
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Comput Assist Tomogr
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Estados Unidos