Acute traumatic aortic injury: Imaging evaluation and management

Radiology

Volumn 248, Issue 3, 2008, Pages 748-762

  Steenburg, Scott D ^a   Ravenel, James G ^a   Ikonomidis, John S ^a   Schönholz, Claudio ^a   Reeves, Scott ^a  

^a MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AORTA INJURY; AORTOGRAPHY; COMPUTER ASSISTED TOMOGRAPHY; HUMAN; INTRAVASCULAR ULTRASOUND; MORBIDITY; MORTALITY; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; REVIEW; THORACOTOMY; THORAX RADIOGRAPHY; TRAFFIC ACCIDENT; AORTA; HEART INJURY; INJURY; METHODOLOGY;

ACCIDENTS, TRAFFIC; AORTA; HEART INJURIES; HUMANS; RADIOGRAPHY, THORACIC; TOMOGRAPHY, X-RAY COMPUTED;

EID: 51549096632     PISSN: 00338419     EISSN: 15271315     Source Type: Journal    
DOI: 10.1148/radiol.2483071416     Document Type: Review

References (94)

1. Vesalius A, Bonetus T. Sepulchretum sive anatomia practica ex cadaveribus morbo denatis. Sect 2. Geneva, Switzerland: 1700;290.
2. Frick EJ, Cipolle MD, Pasquale MD, et al. Outcome of blunt thoracic aortic injury in a level 1 trauma center: an 8-year review. J Trauma 1997;43:844-851.
3. Gray L Jr, Kirsh M. A new roentgenographic finding in acute traumatic rupture of the aorta. J Thorac Cardiovasc Surg 1975;70:86-88.
4. Parmley LF, Mattingly TW, Manion WC, Jahnke EJ Jr. Nonpenetrating traumatic injury of the aorta. Circulation 1958;17:1086-1101.
5. Kodali S, Jamieson WR, Leia-Stephens M, Miyagishima RT, Janusz MT, Tyers GF. Traumatic rupture of the thoracic aorta: a 20-year review - 1969-1989. Circulation 1991;84(5 suppl):III40-III46.
6. Greendyke RM. Traumatic rupture of aorta: special reference to automobile accidents. JAMA 1966;195:527-530.
7. Feczko JD, Lynch L, Pless JE, Clark MA, McClain J, Hawley DA. An autopsy case review of 142 nonpenetrating (blunt) injuries of the aorta. J Trauma 1992;33:846-849.
8. Burkhart HM, Gomez GA, Jacobson LE, Pless JE, Broadie TA. Fatal blunt aortic injuries: a review of 242 autopsy cases. J Trauma 2001;50:113-115.
9. Dart CH Jr, Braitman HE. Traumatic rupture of thoracic aorta: diagnosis and management. Arch Surg 1976;111:697-702.
10. Williams DM, Simon HJ, Marx MV, Starkey TD. Acute traumatic aortic rupture: intravascular US findings. Radiology 1992;182:247-249.
11. National Highway Traffic Safety Administration National Center for Statistics and Analysis. Traffic safety facts: comparison analysis of fatality trend by age group - 1996 to 2005. Washington, DC: U.S. Department of Transportation, 2007.
12. Hartford JM, Fayer RL, Shaver TE, et al. Transection of the thoracic aorta: assessment of a trauma system. Am J Surg 1986;151:224-229.
13. Cowley RA, Turney SZ, Hankins JR, Rodriguez A, Attar S, Shankar BS. Rupture of the thoracic aorta caused by blunt trauma: a fifteen-year experience. J Thorac Cardiovasc Surg 1990;100:652-660; discussion 660-661.
14. Williams JS, Graff JA, Uku JM, Steinig JP. Aortic injury in vehicular trauma. Ann Thorac Surg 1994;57:726-730.
15. Dosios TJ, Salemis N, Angouras D, Nonas E. Blunt and penetrating trauma of the thoracic aorta and aortic arch branches: an autopsy study. J Trauma 2000;49:696-703.
16. Katyal D, McLellan BA, Brenneman FD, Boulanger BR, Sharkey PW, Waddell JP. Lateral impact motor vehicle collisions: significant cause of blunt traumatic rupture of the thoracic aorta. J Trauma 1997;42:769-772.
17. Dischinger PC, Cushing BM, Kerns TJ. Injury patterns associated with direction impact: drivers admitted to trauma centers. J Trauma 1993;35:454-458; discussion 458-459.
18. Loo GT, Siegel JH, Dischinger PC, et al. Airbag protection versus compartment intrusion effect determines the pattern of injuries in multiple trauma motor vehicle crashes. J Trauma 1996;41:935-951.
19. Shkrum MJ, McClafferty KJ, Green RN, Nowak ES, Young JG. Mechanisms of aortic injury in fatalities occurring in motor vehicle collisions. J Forensic Sci 1999;44:44-56.
20. Cohen AM, Crass JR, Thomas HA, Fisher RG, Jacobs DG. CT evidence for the "osseous pinch" mechanism of traumatic aortic injury. AJR Am J Roentgenol 1992;159:271-274.
21. Crass JR, Cohen AM, Motta AO, Tomashefski JF Jr, Wiesen EJ. A proposed new mechanism of traumatic aortic rupture: the osseous pinch. Radiology 1990;176:645-649.
22. Creasy JD, Chiles C, Routh WD, Dyer RB. Overview of traumatic injury of the thoracic aorta. RadioGraphics 1997;17:27-45.
23. Lundervall J. The mechanism of traumatic rupture of the aorta. Acta Pathol Microbiol Scand 1964;62:34-46.
24. Marco JV, Gregory JS. Posterior fracture of the left sixth rib causing late aortic laceration: case report. J Trauma 1997;42:736-737.
25. Murakami R, Tajima H, Ichikawa K, et al. Acute traumatic injury of the distal descending aorta associated with thoracic spine injury. Eur Radiol 1998;8:60-62.
26. Richens D, Field M, Neale M, Oakley C. The mechanism of injury in blunt traumatic rupture of the aorta. Eur J Cardiothorac Surg 2002;21:288-293.
27. Baque P, Serre T, Cheynel N, et al. An experimental cadaveric study for a better understanding of blunt traumatic aortic rupture. J Trauma 2006;61:586-591.
28. Wintermark M, Wicky S, Schnyder P. Imaging of acute traumatic injuries of the thoracic aorta. Eur Radiol 2002;12:431-442.
29. Patel NH, Stephens KE Jr, Mirvis SE, Shanmuganathan K, Mann FA. Imaging of acute thoracic aortic injury due to blunt trauma: a review. Radiology 1998;209:335-348.
30. Merrill WH, Lee RB, Hammon JW Jr, Frist WH, Stewart JR, Bender HW Jr. Surgical treatment of acute traumatic tear of the thoracic aorta. Ann Surg 1988;207:699-706.
31. Kram HB, Wohlmuth DA, Appel PL, Shoemaker WC. Clinical and radiographic indications for aortography in blunt chest trauma. J Vasc Surg 1987;6:168-176.
32. Blackmore CC, Zweibel A, Mann FA. Determining risk of traumatic aortic injury: how to optimize imaging strategy. AJR Am J Roentgenol 2000;174:343-347.
33. Kirkham JR, Blackmore CC. Screening for aortic injury with chest radiography and clinical factors. Emerg Radiol 2007;14:211-217.
34. Sturm JT, McGee MB, Luxenberg MG. An analysis of risk factors for death at the scene following traumatic aortic rupture. J Trauma 1988;28:1578-1580.
35. Cernaianu AC, Cilley JH Jr, Baldino WA, Spence RK, DelRossi AJ. Determinants of outcome in lesions of the thoracic aorta in patients with multiorgan system trauma. Chest 1992;101:331-335.
36. Lee RB, Stahlman GC, Sharp KW. Treatment priorities in patients with traumatic rupture of the thoracic aorta. Am Surg 1992;58:37-43.
37. Orron DE, Porter DH, Kim D, Tortella B. False-positive aortography following blunt chest trauma: case report. Cardiovasc Intervent Radiol 1988;11:132-135.
38. Turney SZ, Attar S, Ayella R, Cowley RA, McLaughlin J. Traumatic rupture of the aorta: a five-year experience. J Thorac Cardiovasc Surg 1976;72:727-734.
39. Fabian TC, Richardson JD, Croce MA, et al. Prospective study of blunt aortic injury: Multicenter Trial of the American Association for the Surgery of Trauma. J Trauma 1997;42:374-380; discussion 380-383.
40. Marnocha KE, Maglinte DD, Woods J, Goodman M, Peterson P. Mediastinal-width/chest-width ratio in blunt chest trauma: a reappraisal. AJR Am J Roentgenol 1984;142:275-277.
41. Woodring JH, Dillon ML. Radiographic manifestations of mediastinal hemorrhage from blunt chest trauma. Ann Thorac Surg 1984;37:171-178.
42. Mirvis SE, Bidwell JK, Buddemeyer EU, Diaconis JN, Pais SO, Whitley JE. Imaging diagnosis of traumatic aortic rupture: a review and experience at a major trauma center. Invest Radiol 1987;22:187-196.
43. Sefczek DM, Sefczek RJ, Deeb ZL. Radiographic signs of acute traumatic rupture of the thoracic aorta. AJR Am J Roentgenol 1983;141:1259-1262.
44. Lee J, Harris JH Jr, Duke JH Jr, Williams JS. Noncorrelation between thoracic skeletal injuries and acute traumatic aortic tear. J Trauma 1997;43:400-404.
45. Dyer DS, Moore EE, Ilke DN, et al. Thoracic aortic injury: how predictive is mechanism and is chest computed tomography a reliable screening tool? - a prospective study of 1,561 patients. J Trauma 2000;48:673-682; discussion 682-683.
46. Fabian TC, Davis KA, Gavant ML, et al. Prospective study of blunt aortic injury: helical CT is diagnostic and antihypertensive therapy reduces rupture. Ann Surg 1998;227:666-676; discussion 676-677.
47. Gavant ML, Menke PG, Fabian T, Flick PA, Graney MJ, Gold RE. Blunt traumatic aortic rupture: detection with helical CT of the chest. Radiology 1995;197:125-133.
48. Mirvis SE, Shanmuganathan K, Miller BH, White CS, Turney SZ. Traumatic aortic injury: diagnosis with contrast-enhanced thoracic CT - 5-year experience at a major trauma center. Radiology 1996;200:413-422.
49. Melton SM, Kerby JD, McGiffin D, et al. The evolution of chest computed tomography for the definitive diagnosis of blunt aortic injury: a single-center experience. J Trauma 2004;56:243-250.
50. Fishman JE, Nunez D Jr, Kane A, Rivas LA, Jacobs WE. Direct versus indirect signs of traumatic aortic injury revealed by helical CT: performance characteristics and interobserver agreement. AJR Am J Roentgenol 1999;172:1027-1031.
51. Bruckner BA, DiBardino DJ, Cumbie TC, et al. Critical evaluation of chest computed tomography scans for blunt descending thoracic aortic injury. Ann Thorac Surg 2006;81:1339-1346.
52. Ellis JD, Mayo JR. Computed tomography evaluation of traumatic rupture of the thoracic aorta: an outcome study. Can Assoc Radiol J 2007;58:22-26.
53. Mirvis SE, Shanmuganathan K, Buell J, Rodriguez A. Use of spiral computed tomography for the assessment of blunt trauma patients with potential aortic injury. J Trauma 1998;45:922-930.
54. Scaglione M, Pinto A, Pinto F, Romano L, Ragozzino A, Grassi R. Role of contrast-enhanced helical CT in the evaluation of acute thoracic aortic injuries after blunt chest trauma. Eur Radiol 2001;11:2444-2448.
55. Sammer M, Wang E, Blackmore CC, Burdick TR, Hollingworth W. Indeterminate CT angiography in blunt thoracic trauma: is CT angiography enough? AJR Am J Roentgenol 2007;189:603-608.
56. Wong H, Gotway MB, Sasson AD, Jeffrey RB. Periaortic hematoma at diaphragmatic crura at helical CT: sign of blunt aortic injury in patients with mediastinal hematoma. Radiology 2004;231:185-189.
57. Mirvis SE, Shanmuganathan K. Diagnosis of blunt traumatic aortic injury 2007: still a nemesis. Eur J Radiol 2007;64:27-40.
58. Malhotra AK, Fabian TC, Croce MA, Weiman DS, Gavant ML, Pate JW. Minimal aortic injury: a lesion associated with advancing diagnostic techniques. J Trauma 2001;51:1042-1048.
59. Pretre R, LaHarpe R, Cheretakis A, et al. Blunt injury to the ascending aorta: three patterns of presentation. Surgery 1996;119:603-610.
60. Steenburg SD, Ravenel JG, Ikonomidis JS. Blunt traumatic injury of the ascending aorta: multidetector CT findings in two cases. Emerg Radiol 2007;13:217-221.
61. Symbas PJ, Horsley WS, Symbas PN. Rupture of the ascending aorta caused by blunt trauma. Ann Thorac Surg 1998;66:113-117.
62. Chen MY, Miller PR, McLaughlin CA, Kortesis BG, Kavanagh PV, Dyer RB. The trend of using computed tomography in the detection of acute thoracic aortic and branch vessel injury after blunt thoracic trauma: single-center experience over 13 years. J Trauma 2004;56:783-785.
63. Chen MY, Regan JD, D'Amore MJ, Routh WD, Meredith JW, Dyer RB. Role of angiography in the detection of aortic branch vessel injury after blunt thoracic trauma. J Trauma 2001;51:1166-1172.
64. Holdgate A, Dunlop S. Review of branch aortic injuries in blunt chest trauma. Emerg Med Australas 2005;17:49-56.
65. Mirvis SE. Thoracic vascular injury. Radiol Clin North Am 2006;44:181-197, vii.
66. Gavant ML, Flick P, Menke P, Gold RE. CT aortography of thoracic aortic rupture. AJR Am J Roentgenol 1996;166:955-961.
67. Rizoli SB, Brenneman FD, Boulanger BR, Maggisano R. Blunt diaphragmatic and thoracic aortic rupture: an emerging injury complex. Ann Thorac Surg 1994;58:1404-1408.
68. Fisher RG, Sanchez-Torres M, Whigham CJ, Thomas JW. "Lumps" and "bumps" that mimic acute aortic and brachiocephalic vessel injury. RadioGraphics 1997;17:825-834.
69. Fattori R, Celletti F, Bertaccini P, et al. Delayed surgery of traumatic aortic rupture: role of magnetic resonance imaging. Circulation 1996;94:2865-2870.
70. Fattori R, Celletti F, Descovich B, et al. Evolution of post-traumatic aortic aneurysm in the subacute phase: magnetic resonance imaging follow-up as a support of the surgical timing. Eur J Cardiothorac Surg 1998;13:582-586; discussion 586-587.
71. Fisher RG, Hadlock F. Laceration of the thoracic aorta and brachiocephalic arteries by blunt trauma: report of 54 cases and review of the literature. Radiol Clin North Am 1981;19:91-110.
72. Ahrar K, Smith DC. Trauma to the aorta and aortic arch branches. Curr Opin Cardiol 1998;13:355-368.
73. Ahrar K, Smith DC, Bansal RC, Razzouk A, Catalano RD. Angiography in blunt thoracic aortic injury. J Trauma 1997;42:665-669.
74. Sturm JT, Hankins DG, Young G. Thoracic aortography following blunt chest trauma. Am J Emerg Med 1990;8:92-96.
75. Uflacker R, Horn J, Phillips G, Selby JB. Intravascular sonography in the assessment of traumatic injury of the thoracic aorta. AJR Am J Roentgenol 1999;173:665-670.
76. Cinnella G, Dambrosio M, Brienza N, Tullo L, Fiore T. Transesophageal echocardiography for diagnosis of traumatic aortic injury: an appraisal of the evidence. J Trauma 2004;57:1246-1255.
77. Patel NH, Hahn D, Comess KA. Blunt chest trauma victims: role of intravascular ultrasound and transesophageal echocardiography in cases of abnormal thoracic aortogram. J Trauma 2003;55:330-337.
78. Konstadt SN, Reich DL, Quintana C, Levy M. The ascending aorta: how much does transesophageal echocardiography see? Anesth Analg 1994;78:240-244.
79. von Oppell UO, Dunne TT, De Groot KM, Zilla P. Spinal cord protection in the absence of collateral circulation: meta-analysis of mortality and paraplegia. J Card Surg 1994;9:685-691.
80. von Oppell UO, Dunne TT, De Groot MK, Zilla P. Traumatic aortic rupture: twenty-year metaanalysis of mortality risk of paraplegia. Ann Thorac Surg 1994;58:585-593.
81. Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg 1991;5:491-499.
82. Kato N, Dake MD, Miller DC, et al. Traumatic thoracic aortic aneurysm: treatment with endovascular stent-grafts. Radiology 1997;205:657-662.
83. Rousseau H, Midulla M, Marcheix B, et al. Indications for endovascular treatment: which treatment for acute traumatic aortic dissections? In: Amor M, Bergeron P, Inglese L, Ischinger T, Mathias K, Raithel D, eds. Thoracic combo from theory to practice: thoracic aortic dissections and their endovascular treatment. Marseille, France: Com, 2007;192:-202.
84. Tehrani HY, Peterson BG, Katariya K, et al. Endovascular repair of thoracic aortic tears. Ann Thorac Surg 2006;82:873-877; discussion 877-878.
85. Agostinelli A, Saccani S, Borrello B, Nicolini F, Larini P, Gherli T. Immediate endovascular treatment of blunt aortic injury: our therapeutic strategy. J Thorac Cardiovasc Surg 2006;131:1053-1057.
86. Bortone AS, Schena S, D'Agostino D, et al. Immediate versus delayed endovascular treatment of post-traumatic aortic pseudoaneurysms and type B dissections: retrospective analysis and premises to the upcoming European trial. Circulation 2002;106(12 suppl 1):I234 -I240.
87. Lobato AC, Quick RC, Phillips B, et al. Immediate endovascular repair for descending thoracic aortic transection secondary to blunt trauma. J Endovasc Ther 2000;7:16-20.
88. Amabile P, Collart F, Gariboldi V, Rollet G, Bartoli JM, Piquet P. Surgical versus endovascular treatment of traumatic thoracic aortic rupture. J Vasc Surg 2004;40:873-879.
89. Semba CP, Kato N, Kee ST, et al. Acute rupture of the descending thoracic aorta: repair with use of endovascular stent-grafts. J Vasc Interv Radiol 1997;8:337-342.
90. Garzon G, Fernandez-Velilla M, Marti M, Acitores I, Ybanez F, Riera L. Endovascular stent-graft treatment of thoracic aortic disease. RadioGraphics 2005;25(suppl 1):S229-S244.
91. Ott MC, Stewart TC, Lawlor DK, Gray DK, Forbes TL. Management of blunt thoracic aortic injuries: endovascular stents versus open repair. J Trauma 2004;56:565-570.
92. Malloy PC, Richard HM 3rd. Thoracic angiography and intervention in trauma. Radiol Clin North Am 2006;44:239-249, viii.
93. Kasirajan K, Heffernan D, Langsfeld M. Acute thoracic aortic trauma: a comparison of endoluminal stent grafts with open repair and nonoperative management. Ann Vasc Surg 2003;17:589-595.
94. Scheinert D, Krankenberg H, Schmidt A, et al. Endoluminal stent-graft placement for acute rupture of the descending thoracic aorta. Eur Heart J 2004;25:694-700.