Injury to the thoracic aorta following fatal blunt trauma: an autopsy study.
Background: Transection of the thoracic aorta (TTA) remains a leading cause of death after blunt trauma. In this autopsy study, the natural history of this injury is reviewed. Patients and Methods: All blunt trauma deaths that occurred in the Milano urban area over a period of one year were collecte...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 35; no. 3; pp. 305 - 311 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105365211&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105365211 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Jun2009 vid: 35 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105365211 2010323786 10.1007/s00068-008-8187-5 105365211 ppf: 305 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Injury to the thoracic aorta following fatal blunt trauma: an autopsy study. aug: au: Chiara O Cimbanassi S Zoia R affil: Trauma Team Department DEA-EAS Hospital Niguarda Ca'Granda, Piazza Ospedale Maggiore 3, 20162 Milan, Italy, e-mail: ochiara@yahoo.com, sug: subj: Aorta Injuries Fatal Outcome Wounds, Nonpenetrating Complications Accidental Falls Accidents, Traffic Adult Aged Aorta Anatomy and Histology Autopsy Cause of Death Descriptive Statistics Female Italy Male Middle Age Prospective Studies Scales Urban Areas Wounds, Nonpenetrating Epidemiology Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: Background: Transection of the thoracic aorta (TTA) remains a leading cause of death after blunt trauma. In this autopsy study, the natural history of this injury is reviewed. Patients and Methods: All blunt trauma deaths that occurred in the Milano urban area over a period of one year were collected. Autopsies were available in all cases. Incidence, mechanisms, anatomical locations of TTA, deaths due to TTA or coexisting injuries, and times of death were reviewed. Cause of death was established. Death was attributed to TTA if its abbreviated injury score was six (hemorrhage not confined to the mediastinum). Results: 199 cases of fatal blunt trauma were included, 72% of which were males; mean age 53 ± 21. A TTA was observed in 53 subjects (27%), with a significantly higher incidence between the ages of 45 and 64 years and after falls from height. The aorta was transected at the isthmus in 36% of cases. Victims with TTA had a higher pre-hospital mortality and more injuries to chest organs, the chest wall and pelvis. In victims with TTA, injury to the aorta was the cause of death in 58%. Only five patients with TTA survived more than 1 h, reaching the hospital alive; four of these died due to the rupture of a mediastinal hematoma during the first hours of in-hospital care. Conclusions: This study demonstrates that TTA is a frequent cause of immediate deaths among blunt trauma victims. Patients with risk factors for TTA who reach the hospital alive need to be promptly investigated with a contrast CT scan. Evidence of mediastinal hematoma is suggestive for possible rapid evolution. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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