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Leitlinien zu Diagnostik und Therapie in der Gefäßchirurgie pp 33–40Cite as

Stumpfe Aortenverletzung und traumatisches Aortenaneurysma (S2)

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Zusammenfassung

Die Verletzung der thorakalen Aorta, deren Prognose trotz aller Fortschritte im Rettungswesen und der Notfallmedizin auch heutzutage noch sehr ungünstig ist, stellt eine vergleichsweise seltene Erkrankung im gefäßchirurgischen Alltag dar. Dabei wird die Diagnose und Therapie bei den eher jungen Patienten durch die oftmals dramatischen Begleitumstände beeinflusst und ein interdisziplinäres Vorgehen meistens erforderlich.

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Literatur

  1. Kodali S et al., Traumatic rupture of the thoracic aorta. A 20-year review: 1969–1989. Circulation (1991), 84(Suppl 5), III40–III46

    CAS  PubMed  Google Scholar 

  2. Baque P et al., An experimental cadaveric study for a better understanding of blunt traumatic aortic rupture. J Trauma (2006), 61(3), 586–591

    Article  PubMed  Google Scholar 

  3. Richens D et al., Rupture of the aorta following road traffic accidents in the United Kingdom 1992–1999. The results of the co-operative crash injury study. Eur J Cardiothorac Surg (2003), 23(2), 143–148

    Article  CAS  PubMed  Google Scholar 

  4. Clancy TV et al., A statewide analysis of level I and II trauma centers for patients with major injuries. J Trauma (2001), 51(2), 346–351

    Article  CAS  PubMed  Google Scholar 

  5. Gammie JS et al., Traumatic aortic rupture: diagnosis and management. Ann Thorac Surg (1998), 66(4), 1295–1300

    Article  CAS  PubMed  Google Scholar 

  6. Burkhart HM et al., Fatal blunt aortic injuries: a review of 242 autopsy cases. J Trauma (2001), 50(1), 113–115

    Article  CAS  PubMed  Google Scholar 

  7. Feczko JD et al. An autopsy case review of 142 nonpenetrating (blunt) injuries of the aorta. J Trauma (1992), 33(6), 846–849

    Article  CAS  PubMed  Google Scholar 

  8. Dosios TJ et al., Blunt and penetrating trauma of the thoracic aorta and aortic arch branches: an autopsy study. J Trauma (2000), 49(4), 696–703

    Article  CAS  PubMed  Google Scholar 

  9. Williams JS et al., Aortic injury in vehicular trauma. Ann Thorac Surg (1994), 57(3), 726–730

    CAS  PubMed  Google Scholar 

  10. Schulman CI et al., Incidence and crash mechanisms of aortic injury during the past decade. J Trauma (2007), 62(3), 664–667

    Article  PubMed  Google Scholar 

  11. Wicky S et al., Imaging of blunt chest trauma. Eur Radiol (2000), 10(10), 1524–1538

    Article  CAS  PubMed  Google Scholar 

  12. Cowley RA et al., Rupture of thoracic aorta caused by blunt trauma. A fifteen-year experience. J Thorac Cardiovasc Surg (1990), 100(5), 652–660 (disc. 660–661)

    CAS  PubMed  Google Scholar 

  13. Parmley LF et al., Nonpenetrating traumatic injury of the aorta. Circulation (1958), 17(6), 1086–1101

    CAS  PubMed  Google Scholar 

  14. Fabian TC et al., Prospective study of blunt aortic injury: Multicenter Trial of the American Association for the Surgery of Trauma. J Trauma (19979, 42(3), 374–380 (disc. 380–383)

    Article  CAS  PubMed  Google Scholar 

  15. Pate JW, Fabian TC, Walker W, Traumatic rupture of the aortic isthmus: an emergency? World J Surg (1995), 19(1), 119–125 (disc. 125–126)

    Article  CAS  PubMed  Google Scholar 

  16. Clark DE et al., Blunt aortic trauma: signs of high risk. J Trauma (1990), 30(6), 701–705

    Article  CAS  PubMed  Google Scholar 

  17. Frykberg ER et al., Nonoperative observation of clinically occult arterial injuries: a prospective evaluation. Surgery (1991), 109(1), 85–96

    CAS  PubMed  Google Scholar 

  18. Chughtai TS, Sheiner NM, Successful repair of aortoesophageal fistula secondary to traumatic pseudoaneurysm. Ann Thorac Surg (1998), 66(3), 936–938

    Article  CAS  PubMed  Google Scholar 

  19. Scaglione M et al., Role of contrast-enhanced helical CT in the evaluation of acute thoracic aortic injuries after blunt chest trauma. Eur Radiol (2001), 11(12), 2444–2448

    Article  CAS  PubMed  Google Scholar 

  20. Chen MY et al., Role of angiography in the detection of aortic branch vessel injury after blunt thoracic trauma. J Trauma (2001), 51(6), 1166–1171 (disc. 1172)

    Article  Google Scholar 

  21. Patel NH et al., Imaging of acute thoracic aortic injury due to blunt trauma: a review. Radiology (1998), 209(2), 335–348

    CAS  PubMed  Google Scholar 

  22. Smith MD et al., Transesophageal echocardiography in the diagnosis of traumatic rupture of the aorta. N Engl J Med (1995), 332(6), 356–362

    Article  CAS  PubMed  Google Scholar 

  23. Saletta S et al., Transesophageal echocardiography for the initial evaluation of the widened mediastinum in trauma patients. J Trauma (1995), 39(1), 137–141 (disc. 141–142)

    Article  CAS  PubMed  Google Scholar 

  24. Walker WA, Pate JW, Medical management of acute traumatic rupture of the aorta. Ann Thorac Surg (1990), 50(6), 965–967

    CAS  PubMed  Google Scholar 

  25. Maggisano Ret al., Traumatic rupture of the thoracic aorta: should one always operate immediately? Ann Vasc Surg (1995), 9(1), 44–52

    Article  CAS  PubMed  Google Scholar 

  26. Holmes JH et al., Natural history of traumatic rupture of the thoracic aorta managed nonoperatively: a longitudinal analysis. Ann Thorac Surg (2002), 73(4), 1149–1154

    Article  PubMed  Google Scholar 

  27. Borman KR, Aurbakken CM, Weigelt JA, Treatment priorities in combined blunt abdominal and aortic trauma. Am J Surg (1982), 144(6), 728–732

    Article  CAS  PubMed  Google Scholar 

  28. von Oppell UO, Traumatic aortic rupture: twenty-year metaanalysis of mortality and risk of paraplegia. Ann Thorac Surg (1994), 58(2), 585–593

    Article  Google Scholar 

  29. Attar S et al., Traumatic aortic rupture: recent outcome with regard to neurologic deficit. Ann Thorac Surg (1999), 67(4), 959–964 (disc. 964–965)

    Article  CAS  PubMed  Google Scholar 

  30. Jahromi AS et al., Traumatic rupture of the thoracic aorta: cohort study and systematic review. J Vasc Surg (2001), 34(6), 1029–1034

    Article  CAS  PubMed  Google Scholar 

  31. Razzouk AJ et al., Repair of traumatic aortic rupture: a 25-year experience. Arch Surg (2000), 135(8), 913–918 (disc. 919)

    Article  CAS  PubMed  Google Scholar 

  32. Tatou E et al., Surgical outcome of traumatic rupture of the thoracic aorta. Ann Thorac Surg (2000), 69(1), 70–73

    Article  CAS  PubMed  Google Scholar 

  33. Galli R et al., Surgical indications and timing of repair of traumatic ruptures of the thoracic aorta. Ann Thorac Surg (1998), 65(2), 461–464

    Article  CAS  PubMed  Google Scholar 

  34. Nocolosi AC et al., Mortality and neurologic morbidity after repair of traumatic aortic disruption. Ann Thorac Surg (1996), 61(3), 875–878

    Article  CAS  PubMed  Google Scholar 

  35. Uzieblo M et al., Endovascular repair of traumatic descending thoracic aortic disruptions: should endovascular therapy become the gold standard? Vasc Endovascular Surg (2004), 38(4), 331–337

    Article  PubMed  Google Scholar 

  36. Peterson BG et al. Percutaneous endovascular repair of blunt thoracic aortic transection. J Trauma (2005), 59(5), 1062–1065

    Article  PubMed  Google Scholar 

  37. Lawlor DK et al., Endovascular management of traumatic thoracic aortic injuries. Can J Surg (2005), 48(4), 293–297

    PubMed  Google Scholar 

  38. Orend KH et al., Endovascular repair of traumatic descending aortic transection. J EndovascTher (2002), 9(5), 573–578

    Article  Google Scholar 

  39. Melnitchouk S et al., Emergency stent-graft placement for hemorrhage control in acute thoracic aortic rupture. Eur J Cardiothorac Surg (2004), 25(6), 1032–1038

    Article  PubMed  Google Scholar 

  40. Wellons E et al. Stent-graft repair of traumatic thoracic aortic disruptions. J Vasc Surg (2004), 40(6), 1095–1100

    Article  PubMed  Google Scholar 

  41. Marty-Ane CH et al., Endovascular repair for acute traumatic rupture of the thoracic aorta. Ann Thorac Surg (2003), 75(6), 1803–1807

    Article  PubMed  Google Scholar 

  42. Sam A, 2nd; Blunt traumatic aortic transection: endoluminal repair with commercially available aortic cuffs. J Vasc Surg (2003), 38(5), 1132–1135

    Article  PubMed  Google Scholar 

  43. Kwok PC et al., Emergency aortic stent grafting for traumatic rupture of the thoracic aorta. Hong Kong Med J (2003), 9(6), 435–440

    CAS  PubMed  Google Scholar 

  44. Morishita K et al., Descending thoracic aortic rupture: role of endovascular stent-grafting. Ann Thorac Surg (2004), 78(5), 1630–1634

    Article  PubMed  Google Scholar 

  45. Iannelli G et al. Thoracic aortic emergencies: impact of endovascular surgery. Ann Thorac Surg (2004), 77(2), 591–596

    Article  PubMed  Google Scholar 

  46. Iyer VS et al., Early outcomes after elective and emergent endovascular repair of the thoracic aorta. J Vasc Surg (2006), 43(4), 677–683

    Article  PubMed  Google Scholar 

  47. Orford VP et al., Blunt traumatic aortic transection: the endovascular experience. Ann Thorac Surg (2003), 75(1), 106–111 (disc. 111–112)

    Article  PubMed  Google Scholar 

  48. Gan JP, Campbell WA, Immediate endovascular stent graft repair of acute thoracic aortic rupture due to blunt trauma. J Trauma (2002), 52(1), 154–157

    Article  PubMed  Google Scholar 

  49. Gaines PA et al., The endovascular management of thoracic aortic disease — some controversial issues. Eur J Vasc EndovascSurg (2002), 23(2), 162–164

    Article  CAS  Google Scholar 

  50. Gawenda M, Landwehr P, Brunkwall J, Stent-graft replacement of chronic traumatic aneurysm of the thoracic aorta after blunt chest trauma. J Cardiovasc Surg (Torino) (2002), 43(5), 705–709

    CAS  Google Scholar 

  51. Bent C et al., Traumatic injury of the thoracic aorta — an endovascular approach. Brit J Surg (2006), 93(Suppl 1), 95–100

    Google Scholar 

  52. Lachat M et al., Acute traumatic aortic rupture: early stent-graft repair. Eur J Cardiothorac Surg (2002), 21(6), 959–963

    Article  CAS  PubMed  Google Scholar 

  53. Hoornweg LL et al., Endovascular management of traumatic ruptures of the thoracic aorta: A retrospective multicenter analysis of 28 cases in The Netherlands. Journal of Vascular Surgery (2006), 43(6), 1096–1102

    Article  PubMed  Google Scholar 

  54. Amabile P et al., Surgical versus endovascular treatment of traumatic thoracic aortic rupture. J Vasc Surg (2004), 40(5), 873–879

    Article  PubMed  Google Scholar 

  55. Neschis DG et al., Twenty consecutive cases of endograft repair of traumatic aortic disruption: lessons learned. J Vasc Surg (2007), 45(3), 487–492

    Article  PubMed  Google Scholar 

  56. Gorich J et al., Initial experience with intentional stent-graft coverage of the subclavian artery during endovascular thoracic aortic repairs. J EndovascTher (2002), 9(Suppl 2), II39–II43

    Google Scholar 

  57. Rehders TC et al., Intentional occlusion of the left subclavian artery during stent-graft implantation in the thoracic aorta: risk and relevance. J Endovasc Ther (2004), 11(6), 659–666

    Article  PubMed  Google Scholar 

  58. Tiesenhausen K et al., Left subclavian artery management in endovascular repair of thoracic aortic aneurysms and aortic dissections. J Card Surg (2003), 18(5), 429–435

    Article  PubMed  Google Scholar 

  59. Hausegger KA et al., Intentional left subclavian artery occlusion by thoracic aortic stent-grafts without surgical transposition. J Endovasc Ther (2001), 8(5), 472–476

    Article  CAS  PubMed  Google Scholar 

  60. Peterson BG et al., Utility of left subclavian artery revascularization in association with endoluminal repair of acute and chronic thoracic aortic pathology. J Vasc Surg (2006), 43(3), 433–439

    Article  PubMed  Google Scholar 

  61. Kaya A et al., Thoracic Stent Grafting for Acute Aortic Pathology. Ann Thorac Surg (2006), 82(2), 560–565

    Article  PubMed  Google Scholar 

  62. Riesenman PJ et al., Coverage of the left subclavian artery during thoracic endovascular aortic repair. J Vasc Surg (2007), 45(1), 90–94 (disc. 94–95)

    Article  PubMed  Google Scholar 

  63. Weigang E et al., Incidence of neurological complications following overstenting of the left subclavian artery. Eur J Cardiothorac Surg (2007), 31(4), 628–636

    Article  PubMed  Google Scholar 

  64. Mangialardi et al., Aortic arch aneurysm and patent left internal mammary artery: technique of transposition of supra-aortic vessels and embolization of the subclavian artery. Vascular (2005), 13(5), 298–300

    Article  PubMed  Google Scholar 

  65. Idu MM et al., Collapse of a stent-graft following treatment of a traumatic thoracic aortic rupture. J Endovasc Ther (2005), 12(4), 503–507

    Article  PubMed  Google Scholar 

  66. Steinbauer MG et al., Endovascular repair of proximal endograft collapse after treatment for thoracic aortic disease. J Vasc Surg (2006), 43(3), 609–612

    Article  PubMed  Google Scholar 

  67. Andrassy J et al., Stent versus open surgery for acute and chronic traumatic injury of the thoracic aorta: a singlecenter experience. J Trauma (2006), 60(4), 765–771 (disc. 771–772)

    Article  PubMed  Google Scholar 

  68. Lebl DR et al., Dramatic Shift in the Primary Management of Traumatic Thoracic Aortic Rupture. Arch Surg (2006), 141(2), 177–180

    Article  PubMed  Google Scholar 

  69. Ott MC et al., Management of blunt thoracic aortic injuries: endovascular stents versus open repair. J Trauma (2004), 56(3), 565–570

    Article  PubMed  Google Scholar 

  70. Rousseau H et al., Acute traumatic aortic rupture: a comparison of surgical and stent-graft repair. J Thorac Cardiovasc Surg (2005), 129(5), 1050–1055

    Article  CAS  PubMed  Google Scholar 

  71. Langanay T et al., Surgical treatment of acute traumatic rupture of the thoracic aorta a timing reappraisal? Eur J Cardiothorac Surg (2002), 21(2), 282–287

    Article  PubMed  Google Scholar 

  72. Symbas PN et al., Traumatic rupture of the aorta: immediate or delayed repair? Ann Surg (2002), 235(6), 796–802

    Article  PubMed  Google Scholar 

  73. Reed AB et al., Timing of endovascular repair of blunt traumatic thoracic aortic transections. J Vasc Surg (2006), 43(4), 684–688

    Article  PubMed  Google Scholar 

  74. Rousseau H et al., Delayed treatment of traumatic rupture of the thoracic aorta with endoluminal covered stent. Circulation (1999), 99(4), 498–504

    CAS  PubMed  Google Scholar 

  75. Schumacher H, Acute traumatic aortic tear: open versus stent-graft repair. Semin Vasc Surg (2006), 19(1), 48–59

    Article  PubMed  Google Scholar 

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    Deutsche Gesellschaft für Gefäßchirurgie. (2010). Stumpfe Aortenverletzung und traumatisches Aortenaneurysma (S2). In: Leitlinien zu Diagnostik und Therapie in der Gefäßchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-04710-7_5

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    • DOI: https://doi.org/10.1007/978-3-642-04710-7_5

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    • Online ISBN: 978-3-642-04710-7

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