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Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
Published on: September 8, 2023
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Blunt Trauma of the Aorta, Current Guidelines
Marc D Trust1, Pedro G R Teixeira1
1Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, 1501 Red River Street, Austin, TX 78712, USA.
Cardiology Clinics
|July 8, 2017
Summary
Blunt thoracic aortic injury management has advanced with CT scans and medical therapy, enabling delayed repair. Endovascular repair reduces risks, but long-term device complications remain unknown.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Medical Imaging
Background:
- Blunt thoracic aortic injury is a significant cause of mortality.
- Advances in diagnosis and treatment have evolved over 50 years.
Purpose of the Study:
- To review the diagnostic and management strategies for blunt thoracic aortic injury.
- To highlight the impact of modern imaging and endovascular repair.
Main Methods:
- Computed tomography (CT) scanning for diagnosis and surgical planning.
- Medical management with antihypertensives to stabilize patients.
- Endovascular repair using endografts.
Main Results:
- CT scanning is the preferred imaging modality.
- Antihypertensive medical management reduces rupture risk and allows delayed repair.
- Endovascular techniques have decreased repair-associated risks.
Conclusions:
- Modern diagnostic and therapeutic approaches have improved outcomes for blunt thoracic aortic injury.
- The long-term incidence of complications from current endograft devices is not yet established.
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