Abstract
The purpose of this study was to evaluate the radiographic findings in children with traumatic aortic injuries and discuss the imaging techniques currently available for diagnosis. A retrospective review of 10,886 children examined because of blunt trauma from 1987 to April 1996 identified seven patients (0.064%) who sustained traumatic aortic injuries. The mechanism of injury, location of aortic injury, additional injuries suffered, trauma scores, sequences of radiologic evaluation, imaging findings, treatment, and outcome were recorded for each child. Six children had pathologically proven aortic ruptures, and the remaining child had an intimal injury diagnosed with contrast-enhanced helical CT and confirmed with transesophageal echocardiography. All seven children were victims of motor vehicle accidents (six passengers, one pedestrian), all had injuries of the aortic isthmus, and all had additional severe injuries. The mean trauma score, injury severity score, and probability of survival were 14, 39, and 75%, respectively. Imaging techniques included chest radiography (n = 7), conventional CT (n = 1), helical CT (n = 3), aortography (n = 2), and transesophageal echocardiography (n = 3). The initial outcomes included death (n...Continue Reading
Citations
Oct 24, 2006·Pediatric Radiology·Paritosh C KhannaDorothy I Bulas
Dec 18, 2008·Pediatric Radiology·Manrita K SidhuThomas Burdick
Jan 20, 2009·Pediatric Radiology·Michael A MooreSjirk J Westra
Apr 3, 2009·Pediatric Radiology·Josh M Heck, Mark A Bittles
Feb 25, 2010·Pediatric Radiology·Rina P PatelJ Herman Kan
Jun 15, 2007·Emergency Radiology·Scott D Steenburg, James G Ravenel
May 9, 2003·The Annals of Thoracic Surgery·Riyad Karmy-JonesRobert D Bloch
May 3, 2005·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·D G HealyA E Wood
Jun 12, 2013·The Journal of Surgical Research·Courtenay M HolscherDenis D Bensard
Mar 1, 2012·Seminars in Roentgenology·Matthew R HammerPeter J Strouse
Sep 6, 2011·Radiologic Clinics of North America·Michael A MooreSjirk J Westra
Mar 23, 2007·Journal of Vascular and Interventional Radiology : JVIR·Nael E A SaadMark G Davies
Sep 15, 2004·Seminars in Pediatric Surgery·Kennith H Sartorelli, Dennis W Vane
Apr 21, 2004·Current Problems in Surgery·Riyad Karmy-Jones, Gregory J Jurkovich
Jul 22, 2015·Emergency Medicine Journal : EMJ·Katherine de la Morandiere
Aug 19, 2007·The Journal of Trauma·Martin GschwentnerMichael Rieger
Jul 11, 2009·The Journal of Trauma·Troy A MarkelKimberly E Applegate
Aug 4, 2005·Journal of Thoracic Imaging·Lejla AganovicJames G Ravenel
Jun 3, 2000·Current Opinion in Pediatrics·M P HartyK E Fellows
Mar 27, 2003·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Luciana Fernandes PachecoSonia Maria Ferreira
Aug 14, 2001·Dental Traumatology : Official Publication of International Association for Dental Traumatology·K GábrisN Rózsa
Feb 14, 2017·Clinical Radiology·V J LeungH R Jones