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Historical review of blunt injury to the thoracic aorta
1Department of Surgery, Baylor College of Medicine, Ben Taub General Hospital, Houston, Texas, USA. kmattox@aol.com
Abstract:
This article addresses the history of blunt injury to the aorta by reviewing the epidemiology, military accounts, ancient history, and recent history during the last five decades of the twentieth century. Although they are a bit arbitrary and overlap somewhat, significant groupings regarding blunt injury to the thoracic aorta have occurred in ten-year blocks. It is important that any surgeon not be locked into a previous time period but be continually knowledgeable of ever-changing approaches. These approaches should always be based on the best evidence-based information available.
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Thoracic Aorta
Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Aneurysm I: Introduction
Aneurysm II: Clinical Manifestations and Diagnostic Studies

