Blunt Thoracic Aortic Injuries: Diagnosis
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Blunt thoracic aortic injury (BTAI) is a life threatening injury that occurs in rapid deceleration injuries (motor vehicle accidents, falls from heights etc.). It is present at autopsy in 12–17% of motor vehicle accident fatalities. Of patients sustaining BTAI, 58–94% fail to make it to the hospital alive. For those patients who survive to the emergency room but are not repaired surgically, rupture occurs in 8% within 1 hour, in 22% within 6 hours, and in 33% within 24 hours. Based on this data, the standard of care of BTAI is prompt, accurate diagnosis followed by surgical repair.
KeywordsThoracic Aorta Aortic Injury Blunt Chest Trauma Traumatic Rupture Mediastinal Hematoma
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