link
Bookmarks
Aortic Injury
Hank Baskin, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
14
7
2

KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Traumatic aortic injury (TAI), blunt aortic injury (BAI)
              • Definitions

                • Intramural hematoma: Isolated circumferential or crescentic thickening of aortic wall without intimal injury
                • Intimal tear: Small, isolated injury to intimal layer of aorta without external aortic contour abnormality; linear intimal defect &/or associated thrombus < 10 mm
                • Large intimal flap: Larger intimal injury than tear but still without external aortic contour abnormality; linear intimal defect &/or associated thrombus > 10 mm
                • Pseudoaneurysm: Focally contained outpouching of aortic lumen causing external aortic contour abnormality
                • Rupture: Uncontained dissection causing external aortic contour abnormality with extraluminal contrast (extravasation)

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Echocardiographic Findings

                        • Angiographic Findings

                          • Imaging Recommendations

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                • Gross Pathologic & Surgical Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            Selected References

                                            1. Brinkman AS et al: Evolution in management of adolescent blunt aortic injuries--a single institution 22-y experience. J Surg Res. 193(2):523-7, 2015
                                            2. Tashiro J et al: Mechanism and mortality of pediatric aortic injuries. J Surg Res. 198(2):456-61, 2015
                                            3. Starnes BW et al: A new classification scheme for treating blunt aortic injury. J Vasc Surg. 55(1):47-54, 2012
                                            4. Aladham F et al: Traumatic aortic injury: computerized tomographic findings at presentation and after conservative therapy. J Comput Assist Tomogr. 34(3):388-94, 2010
                                            5. Barmparas G et al: Pediatric vs adult vascular trauma: a National Trauma Databank review. J Pediatr Surg. 45(7):1404-12, 2010
                                            6. Pabon-Ramos WM et al: Radiologic evaluation of blunt thoracic aortic injury in pediatric patients. AJR Am J Roentgenol. 194(5):1197-203, 2010
                                            7. Moore MA et al: The imaging of paediatric thoracic trauma. Pediatr Radiol. 39(5):485-96, 2009
                                            8. Bruckner BA et al: Critical evaluation of chest computed tomography scans for blunt descending thoracic aortic injury. Ann Thorac Surg. 81(4):1339-46, 2006
                                            9. Murala JS et al: Traumatic rupture of the aorta in children--stenting or surgical intervention? A word of caution. J Thorac Cardiovasc Surg. 132(3):731-2; author reply 732, 2006
                                            10. Heckman SR et al: Risk factors for blunt thoracic aortic injury in children. J Pediatr Surg. 40(1):98-102, 2005
                                            11. Milas ZL et al: Pediatric blunt trauma resulting in major arterial injuries. Am Surg. 70(5):443-7, 2004
                                            12. McGwin G Jr et al: Incidence and characteristics of motor vehicle collision-related blunt thoracic aortic injury according to age. J Trauma. 52(5):859-65; discussion 865-6, 2002
                                            13. Lowe LH et al: Traumatic aortic injuries in children: radiologic evaluation. AJR Am J Roentgenol. 170(1):39-42, 1998
                                            Related Anatomy
                                            Loading...
                                            Related Differential Diagnoses
                                            Loading...
                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Abbreviations

                                                          • Traumatic aortic injury (TAI), blunt aortic injury (BAI)
                                                        • Definitions

                                                          • Intramural hematoma: Isolated circumferential or crescentic thickening of aortic wall without intimal injury
                                                          • Intimal tear: Small, isolated injury to intimal layer of aorta without external aortic contour abnormality; linear intimal defect &/or associated thrombus < 10 mm
                                                          • Large intimal flap: Larger intimal injury than tear but still without external aortic contour abnormality; linear intimal defect &/or associated thrombus > 10 mm
                                                          • Pseudoaneurysm: Focally contained outpouching of aortic lumen causing external aortic contour abnormality
                                                          • Rupture: Uncontained dissection causing external aortic contour abnormality with extraluminal contrast (extravasation)

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Echocardiographic Findings

                                                                  • Angiographic Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            CLINICAL ISSUES

                                                                            • Presentation

                                                                              • Demographics

                                                                                • Natural History & Prognosis

                                                                                  • Treatment

                                                                                    DIAGNOSTIC CHECKLIST

                                                                                    • Consider

                                                                                      Selected References

                                                                                      1. Brinkman AS et al: Evolution in management of adolescent blunt aortic injuries--a single institution 22-y experience. J Surg Res. 193(2):523-7, 2015
                                                                                      2. Tashiro J et al: Mechanism and mortality of pediatric aortic injuries. J Surg Res. 198(2):456-61, 2015
                                                                                      3. Starnes BW et al: A new classification scheme for treating blunt aortic injury. J Vasc Surg. 55(1):47-54, 2012
                                                                                      4. Aladham F et al: Traumatic aortic injury: computerized tomographic findings at presentation and after conservative therapy. J Comput Assist Tomogr. 34(3):388-94, 2010
                                                                                      5. Barmparas G et al: Pediatric vs adult vascular trauma: a National Trauma Databank review. J Pediatr Surg. 45(7):1404-12, 2010
                                                                                      6. Pabon-Ramos WM et al: Radiologic evaluation of blunt thoracic aortic injury in pediatric patients. AJR Am J Roentgenol. 194(5):1197-203, 2010
                                                                                      7. Moore MA et al: The imaging of paediatric thoracic trauma. Pediatr Radiol. 39(5):485-96, 2009
                                                                                      8. Bruckner BA et al: Critical evaluation of chest computed tomography scans for blunt descending thoracic aortic injury. Ann Thorac Surg. 81(4):1339-46, 2006
                                                                                      9. Murala JS et al: Traumatic rupture of the aorta in children--stenting or surgical intervention? A word of caution. J Thorac Cardiovasc Surg. 132(3):731-2; author reply 732, 2006
                                                                                      10. Heckman SR et al: Risk factors for blunt thoracic aortic injury in children. J Pediatr Surg. 40(1):98-102, 2005
                                                                                      11. Milas ZL et al: Pediatric blunt trauma resulting in major arterial injuries. Am Surg. 70(5):443-7, 2004
                                                                                      12. McGwin G Jr et al: Incidence and characteristics of motor vehicle collision-related blunt thoracic aortic injury according to age. J Trauma. 52(5):859-65; discussion 865-6, 2002
                                                                                      13. Lowe LH et al: Traumatic aortic injuries in children: radiologic evaluation. AJR Am J Roentgenol. 170(1):39-42, 1998