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J Trauma Inj > Volume 29(4); 2016 > Article
Journal of Trauma and Injury 2016;29(4):146-150.
DOI: https://doi.org/10.20408/jti.2016.29.4.146    Published online December 31, 2016.
Management of Thoracic Aortic Injury after Blunt Trauma: Nine Cases at a Single Medical Center
Kyungwon Lee, Jae Gil Lee
Division of Critical Care and Trauma Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. jakii@yuhs.ac
Received: 28 October 2016   • Revised: 14 November 2016   • Accepted: 17 February 2017
Abstract
PURPOSE
Traumatic aortic injuries are rare, but life threatening condition. They usually occur after high velocity impact on the chest or abdomen such as traffic accident or fall. We report the experiences of the traumatic aortic injuries at a single center.
METHODS
We retrospectively reviewed the medical records of nine patients with aortic injury resulting from the blunt trauma from Jan. 2010 to May. 2016.
RESULTS
The mean age was 51.1±20.8 years old, and ten (90.9%) were men. The mechanisms of injury were traffic accidents in seven patients (motorcycle accidents; 3, car accidents; 4), and four in fall injury. Most common injured sites were thoracic aorta (9, 81.8%). Aortic injuries were repaired by endovascular approach in four patients, and by open graft surgery in four. Two patients were managed conservatively. Nine patients survived without any complications.
CONCLUSION
We had experienced different approaches for management of aortic injuries after blunt trauma according to locations and severity of lesions.
Key Words: Traumatic thoracic aortic injury; Endovascular repair; Open graft surgery


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