AI Article Synopsis
- Forty-three patients treated for aortic rupture from blunt trauma at the University of Michigan over the last decade showed a 70% survival rate.
- Diagnosis should be considered in high-speed decelerating injury cases, indicated by mediastinal widening on chest X-ray, regardless of other symptoms.
- Aortography is used for confirmation and location of the rupture, and repair should occur quickly, usually using a bypass shunt without extracorporeal circulation.
Article Abstract
Forty-three patients with aortic rupture secondardy to blunt trauma have been treated at the University of Micigan within the past 10 years with an overall salvage rate of 70%. The diagnosis should be suspected in anyone who has sustained a high speed decelerating injury, if the chest roentgenogram shows media-stinal widening, whether or not there is hypertension of the upper extremities; systolic murmur, or external evidence of chest injury. Aortography should be employed to confirm the diagnosis and to determine the site or sites of rupture. Repair of the lesion should be undertaken as soon as possible and takes priority in most instances over associated injuries. Repair in almost all cases can be accomplished safely and quickly using a bypass shunt without the aid of extracorporeal circulation.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1344387 | PMC |
| http://dx.doi.org/10.1097/00000658-197609000-00008 | DOI Listing |
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