Acute traumatic aortic injuries: Posttherapy multidetector CT findings

Tara A. Morgan, Scott Steenburg, Eliot L. Siege, Stuart E. Mirvis

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Acute traumatic aortic injury is a life-threatening entity that requires emergent treatment. Treatment was once performed with left thoracotomy, resection of the damaged aortic segment, and placement of an interposition graft. Within the past decade, endovascular therapy has gained increased acceptance, primarily because of a significant decrease in mortality and morbidity compared with those of surgery. The authors reviewed the experience with management of acute traumatic aortic injuries at their institution, as well as that reported in the literature. Complications after endovascular repair include endoleak, endograft collapse, stroke, upper extremity ischemia, paraplegia, graft infection, endograft structural failure, missed injury or stent migration, and access site complications. After surgical repair, paraplegia and ischemia to other organs, graft dehiscence, graft infection, and graft stenosis may occur. With the growing use of endovascular management of acute traumatic aortic injuries and the increased likelihood of patient survival, the radiologist will be expected to be familiar with the findings in these patients and is positioned to play a critical role in early recognition of potential complications. Early diagnosis of the complications of therapy for aortic injury is imperative for reduction of mortality and morbidity.

Original languageEnglish (US)
Pages (from-to)851-868
Number of pages18
JournalRadiographics
Volume30
Issue number4
DOIs
StatePublished - Jul 2010
Externally publishedYes

Fingerprint

Transplants
Wounds and Injuries
Paraplegia
Ischemia
Morbidity
Endoleak
Mortality
Thoracotomy
Therapeutics
Infection
Upper Extremity
Stents
Early Diagnosis
Pathologic Constriction
Stroke
Survival

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Acute traumatic aortic injuries : Posttherapy multidetector CT findings. / Morgan, Tara A.; Steenburg, Scott; Siege, Eliot L.; Mirvis, Stuart E.

In: Radiographics, Vol. 30, No. 4, 07.2010, p. 851-868.

Research output: Contribution to journalArticle

Morgan, Tara A. ; Steenburg, Scott ; Siege, Eliot L. ; Mirvis, Stuart E. / Acute traumatic aortic injuries : Posttherapy multidetector CT findings. In: Radiographics. 2010 ; Vol. 30, No. 4. pp. 851-868.
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