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Ascending aortic injuries following blunt trauma
Xiumei Sun1, Jenny Hong, Robert Lowery
1Department of Cardiac Surgery, MedStar Washington Hospital Center, Washington, District of Columbia.
Journal of Cardiac Surgery
|November 15, 2013
Summary
Traumatic ascending aortic injuries are rare but serious. Motor vehicle accidents are a common cause. Open repair, emergent or delayed, is the preferred treatment for these thoracic aortic injuries.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Diagnostic Imaging
Background:
- Significant advancements in diagnostic technology and prehospital care have evolved the management of traumatic thoracic aortic injuries.
- While descending aortic injuries receive more attention, this review focuses on the recent management strategies for ascending aortic injuries.
Observation:
- Ascending aortic injuries are uncommon in blunt trauma survivors.
- Motor vehicle accidents are the leading cause (78.9%).
- Associated injuries and aortic valve damage are frequent (84.2% and 26.3%, respectively).
Findings:
- Computed tomography and echocardiography have replaced aortography for diagnosis.
- Open repair, emergent or delayed, is the standard treatment.
- Operative mortality for emergent open repair is 12.5%.
Implications:
- Early diagnosis and prompt surgical intervention are crucial for ascending aortic injuries.
- Continued research into optimal management strategies is warranted.
- Improved diagnostic tools enhance patient outcomes in traumatic aortic injuries.
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