[Traumatic aortic rupture - diagnosis and managment].

Area of Science:

• Trauma Surgery
• Vascular Surgery
• Emergency Medicine

Background:

• Road traffic accidents are a leading cause of traumatic aortic rupture, often with other severe injuries.
• High pre-hospital mortality rates underscore the urgency of diagnosing and treating aortic trauma.
• A high traumatic aortic injury score necessitates computer tomography for diagnosis.

Purpose of the Study:

• To outline the diagnostic and treatment priorities for traumatic aortic injuries.
• To emphasize the importance of blood pressure management in patients with aortic trauma.
• To highlight current treatment modalities, including endovascular stent grafts.

Main Methods:

• Utilizing computer tomography (CT) for suspected aortic trauma based on injury scores.
• Triage of injuries to determine treatment priority based on severity and patient condition.
• Classification of aortic lesions into grades I-IV.

Main Results:

• Grade I and II aortic lesions may be managed conservatively with close monitoring.
• Grade III and IV lesions require urgent surgical or interventional treatment.
• Endovascular stent graft therapy is the established preferred treatment.

Conclusions:

• Prompt diagnosis via CT is crucial for suspected traumatic aortic injuries.
• Management strategies vary by injury grade, with a focus on blood pressure control.
• Endovascular repair is the leading treatment for significant traumatic aortic ruptures.