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Evaluation and Management of Traumatic Aortic Lesions

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Book cover Aortic Dissection and Related Syndromes

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 260))

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Abstract

Traumatic aortic rupture (TAR) is a lesion extending from the intima to the adventitia, occurring as a result of trauma. The first annotation of TAR was in 1557 by Vesalius, who described a patient with an aortic rupture after a fall from a horse. In 1923, Dshanelidze in Russia reported the first successful repair of TAR in a penetrating lesion of ascending aorta, followed in the 1950s by the surgical report of Passaro and Pace1. The era of high-speed motor vehicles has brought with it an increased incidence of TAR. Between 1936 and 1942, in a cohort of 7,000 autopsies, Strassman2 found only 51 patients with traumatic aortic rupture secondary to vehicular collision, whereas several recent investigations have shown that TAR occurs in 10–30% of adults sustaining fatal blunt trauma; it therefore represents one of the most common causes of death at the scene of vehicular accidents3–6.

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Authors and Affiliations

  1. Cardiovascular Radiology Unit, Cardiovascular Department, University Hospital S. Orsola, Bologna, Italy

    Rossella Fattori

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  1. Rossella Fattori
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Editors and Affiliations

  1. University of Michigan, Ann Arbor, Michigan, USA

    Kim A. Eagle MD (Albion Walter Hewlett Professor of Internal Medicine, Chief of Clinical Cardiology, Clinical Director of Cardiovascular Center) (Albion Walter Hewlett Professor of Internal Medicine, Chief of Clinical Cardiology, Clinical Director of Cardiovascular Center)

  2. Ohio State University Hospital East, Columbus, Ohio, USA

    Ragavendra R. Baliga MD, MBA (Director, Section of Cardiovascular Medicine, Clinical Professor of Internal Medicine) (Director, Section of Cardiovascular Medicine, Clinical Professor of Internal Medicine)

  3. Thoracic Aortic Center, Massachusetts General Hospital, Boston, Massachusetts, USA

    Eric M. Isselbacher MD (Co-Director) (Co-Director)

  4. Division of Cardiology, University Hospital Rostock, Rostock, Germany

    Christoph A. Nienaber MD (Head) (Head)

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Fattori, R. (2007). Evaluation and Management of Traumatic Aortic Lesions. In: Eagle, K.A., Baliga, R.R., Isselbacher, E.M., Nienaber, C.A. (eds) Aortic Dissection and Related Syndromes. Developments in Cardiovascular Medicine, vol 260. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-36001-0_15

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  • DOI: https://doi.org/10.1007/978-0-387-36001-0_15

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