Conservative Management of Aortic Lacerations Due to Blunt Trauma
Three patients with angiographically documented thoracic aortic lacerations were managed conservatively over 8 years due to the nonthreatening appearance of the injuries in two and the presence of an associated major closed head injury in a third. The lesion(s) resolved in one, diminished in another...
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Veröffentlicht in: | The journal of trauma 1990-12, Vol.30 (12), p.1562-1566 |
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container_issue | 12 |
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container_title | The journal of trauma |
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creator | FISHER, RICHARD G. ORIA, RICHARD A. MATTOX, KENNETH L. WHIGHAM, CLIFF J. PICKARD, LAURENS R. |
description | Three patients with angiographically documented thoracic aortic lacerations were managed conservatively over 8 years due to the nonthreatening appearance of the injuries in two and the presence of an associated major closed head injury in a third. The lesion(s) resolved in one, diminished in another, and remained unchanged in the third. At least ten other cases managed similarly are recorded in the literature. In certain selected circumstances this approach may represent a viable alternative to the current standard of immediate surgical correction of aortic injuries. |
doi_str_mv | 10.1097/00005373-199012000-00022 |
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The lesion(s) resolved in one, diminished in another, and remained unchanged in the third. At least ten other cases managed similarly are recorded in the literature. In certain selected circumstances this approach may represent a viable alternative to the current standard of immediate surgical correction of aortic injuries.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-199012000-00022</identifier><identifier>PMID: 2258973</identifier><identifier>CODEN: JOTRA5</identifier><language>eng</language><publisher>Baltimore, MD: Williams & Wilkins</publisher><subject>Adult ; Aorta, Thoracic - diagnostic imaging ; Aorta, Thoracic - injuries ; Aortic Aneurysm - diagnostic imaging ; Aortic Aneurysm - therapy ; Aortography ; Biological and medical sciences ; Humans ; Male ; Medical sciences ; Traumas. 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The lesion(s) resolved in one, diminished in another, and remained unchanged in the third. At least ten other cases managed similarly are recorded in the literature. In certain selected circumstances this approach may represent a viable alternative to the current standard of immediate surgical correction of aortic injuries.</description><subject>Adult</subject><subject>Aorta, Thoracic - diagnostic imaging</subject><subject>Aorta, Thoracic - injuries</subject><subject>Aortic Aneurysm - diagnostic imaging</subject><subject>Aortic Aneurysm - therapy</subject><subject>Aortography</subject><subject>Biological and medical sciences</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Vascular injuries: limbs, aorta, vena cava</subject><subject>Wounds, Nonpenetrating - therapy</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV1PwyAUhonRzDn9CSa90bsqULrC5ZyfyYw385qcslNXbcuEdov_XubqvJKEEHifcwgPhESMXjGqsmsaRppkScyUooyHXRwm5wdkyFKuYimpOiTD7VGccsmPyYn37wERIpEDMuA8lSpLhmQytY1Ht4a2XGP0DA28YY1NG9kimljXliaagUEX8gBGtx1GrY1uqi4gcwddDafkqIDK41m_jsjr_d18-hjPXh6eppNZbAQTPJYCqMlTNJQxFDxPUgNc5YWB8SJVBUpQgoVQMpCpRCjGkGe5UQnnuTB5kYzI5a7vytnPDn2r69IbrCpo0HZeS8qy8FIaQLkDjbPeOyz0ypU1uC_NqN7a07_29N6e_rEXSs_7O7q8xsW-sNcV8os-B2-gKhw0pvR__VXGAzUOnNhxG1u16PxH1W3Q6SVC1S71f5-XfAPJHYaK</recordid><startdate>199012</startdate><enddate>199012</enddate><creator>FISHER, RICHARD G.</creator><creator>ORIA, RICHARD A.</creator><creator>MATTOX, KENNETH L.</creator><creator>WHIGHAM, CLIFF J.</creator><creator>PICKARD, LAURENS R.</creator><general>Williams & Wilkins</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199012</creationdate><title>Conservative Management of Aortic Lacerations Due to Blunt Trauma</title><author>FISHER, RICHARD G. ; ORIA, RICHARD A. ; MATTOX, KENNETH L. ; WHIGHAM, CLIFF J. ; PICKARD, LAURENS R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4142-84a0cb5ec011e42b35ca29bfca6d59fe8a941c0181a858eaf6ab7bc9322b4cbf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Aorta, Thoracic - diagnostic imaging</topic><topic>Aorta, Thoracic - injuries</topic><topic>Aortic Aneurysm - diagnostic imaging</topic><topic>Aortic Aneurysm - therapy</topic><topic>Aortography</topic><topic>Biological and medical sciences</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Traumas. 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source | MEDLINE; Journals@Ovid Complete |
subjects | Adult Aorta, Thoracic - diagnostic imaging Aorta, Thoracic - injuries Aortic Aneurysm - diagnostic imaging Aortic Aneurysm - therapy Aortography Biological and medical sciences Humans Male Medical sciences Traumas. Diseases due to physical agents Vascular injuries: limbs, aorta, vena cava Wounds, Nonpenetrating - therapy |
title | Conservative Management of Aortic Lacerations Due to Blunt Trauma |
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