PMID: 11901322Mar 20, 2002Paper

Aortic intimal injuries from blunt trauma: resolution profile in nonoperative management

The Journal of Trauma
John KeprosReuven Rabinovici

Abstract

To provide preliminary data on the resolution profile of aortic intimal injuries treated nonoperatively and on the safety of nonoperative management of these injuries. Five blunt trauma patients diagnosed by transesophageal echocardiography (TEE) with traumatic intimal injury of the aorta were assigned to nonoperative management. This included beta-blockade to maintain systolic blood pressure between 80 and 90 mm Hg and heart rate between 60 and 80 beats/min, serial TEE studies, and invasive monitoring in the intensive care unit. The evolution of injury, the effectiveness of nonoperative treatment, and the potential need for an operative intervention were monitored. The patients had a mean Injury Severity Score of 32 and sustained multiple associated thoracic and extrathoracic injuries. Aortic injuries were located at the level of the ligamentum arteriosum and in the descending aorta adjacent to the diaphragm in three and two patients, respectively. The mean size of injury was 12.5 mm (range, 5-20 mm) and a thrombus attached to the endothelium was present in three of the five patients. Complete resolution of injury occurred within 9.4 +/- 6.6 days (range, 3-19 days). All patients remained hemodynamically stable and adequately p...Continue Reading

References

Dec 1, 1990·The Journal of Trauma·R G FisherL R Pickard
Jul 1, 1981·The Journal of Trauma·J B WilliamsH L Laws
Feb 9, 1995·The New England Journal of Medicine·M D SmithP A Kearney
May 1, 1993·The Journal of Trauma·P A KearneyP M Sapin
Dec 5, 1998·World Journal of Surgery·J W PateT C Fabian
Dec 29, 2000·The Journal of Trauma·B A McKinleyF A Moore

❮ Previous
Next ❯

Citations

Mar 20, 2012·Emergency Radiology·Shadpour DemehriKarin E Dill
Mar 23, 2012·Interactive Cardiovascular and Thoracic Surgery·Victor X MosqueraJosé Joaquin Cuenca
Oct 30, 2004·The Journal of Trauma·Julian E LosanoffJames W Jones
Jan 30, 2004·The Journal of Trauma·Mark R HemmilaWendy L Wahl
Mar 15, 2006·The Journal of Trauma·Hitoshi HiroseMark A Malangoni
May 15, 2007·The Journal of Trauma·Brian D StemperKaren J Brasel
Sep 11, 2009·The Journal of Trauma·Richard C HershbergerFred A Luchette
May 11, 2011·Thrombosis Journal·Iraklis TsangarisApostolos Armaganidis
Sep 21, 2012·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Biniam KidaneThomas L Forbes
Oct 23, 2008·AJR. American Journal of Roentgenology·Scott D Steenburg, James G Ravenel
Jan 15, 2014·Emergency Radiology·Martin L D GunnBenjamin Starnes
May 27, 2014·The Annals of Thoracic Surgery·Joseph RabinRobert S Crawford
May 26, 2010·Journal of Computer Assisted Tomography·Farid AladhamLeslie E Quint
Dec 18, 2013·Journal of Vascular Surgery·Michael J OsgoodJeffery B Dattilo
Jun 25, 2013·Annals of Vascular Surgery·Donald G HarrisRobert S Crawford
Oct 29, 2015·Journal of Vascular Surgery·Shinsuke TanizakiHiroshi Ishida
Aug 6, 2013·The American Journal of Emergency Medicine·Toru HifumiYuichi Koido
Jan 24, 2012·Journal of the American College of Surgeons·Demetrios Demetriades
Nov 11, 2011·The Journal of Thoracic and Cardiovascular Surgery·Yoan LamarcheDavid Evans
Sep 14, 2011·Annals of Vascular Surgery·Stéphane LopezG Fournial
Jan 29, 2011·The Journal of Thoracic and Cardiovascular Surgery·Victor X MosqueraJosé J Cuenca
Sep 29, 2009·The Surgical Clinics of North America·Chris C Cook, Thomas G Gleason
Jul 27, 2007·Thoracic Surgery Clinics·Riyad Karmy-JonesThomas G Gleason
Apr 21, 2004·Current Problems in Surgery·Riyad Karmy-Jones, Gregory J Jurkovich
Aug 11, 2004·Emergency Medicine Clinics of North America·Diku P Mandavia, Anthony Joseph
Oct 12, 2004·Emergency Medicine Clinics of North America·William E Baker, Jonathan Wassermann
Dec 2, 2011·Journal of Vascular Surgery·Benjamin W StarnesGabriel Aldea
Sep 10, 2014·Journal of Vascular Surgery·Donald G HarrisRobert S Crawford
Mar 7, 2006·The Journal of Thoracic and Cardiovascular Surgery·Judy CookRiyad Karmy-Jones
Oct 21, 2016·Journal of Vascular Surgery·Donald G HarrisRobert S Crawford
Nov 13, 2008·Vascular and Endovascular Surgery·Gabriele PiffarettiPatrizio Castelli
Mar 2, 2018·Abdominal Radiology·Richard TsaiVincent M Mellnick
Dec 17, 2010·World Journal of Radiology·Riyad Karmy-JonesRobert Bloch

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.