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Jornal Vascular Brasileiro

Print version ISSN 1677-5449On-line version ISSN 1677-7301

Abstract

BANSAL, Vishal; LEE, Jeanne  and  COIMBRA, Raul. Current diagnosis and management of blunt traumatic rupture of the thoracic aorta. J. vasc. bras. [online]. 2007, vol.6, n.1, pp.64-73. ISSN 1677-5449.  http://dx.doi.org/10.1590/S1677-54492007000100009.

The diagnosis and management of aortic lacerations has been gradually improving. Historically, aortic lacerations were a common cause of exsanguination with extremely high mortality rate. However, in modern trauma systems with advanced resuscitation and rapid radiology imaging, the diagnosis of an aortic injury is improving with an emphasis on preventing the progression of intimal flaps and pseudoaneurysms to frank dissection or rupture. Both diagnostic modalities and the paradigm of immediate operative intervention have changed. The evolution of endovascular stenting may play a future role in definitive care.

Keywords : Thoracic trauma; thoracic aorta; thoracic aortic rupture; endovascular repair; endoprosthesis; stent graft; paraplegia.

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