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Trauma to the aorta and major vessels
1Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Abstract:
Techniques for the diagnosis of blunt thoracic vascular injuries continue to evolve, and both helical CT scanning and transesophageal echocardiography are being compared with thoracic aortography. Repair of a tear in the descending thoracic aorta often is performed with the antriofemoral centrifugal pump. Patients with penetrating thoracic vascular injuries have a variety of presentations, with aortography restricted to those with proximity of wound to the superior mediastinum or the presence of a hematoma on admission chest radiograph.