Injury to the Thoracic Great Vessels
- 6 January 2016
- book chapter
- Published by Taylor & Francis
- p. 177-186
- https://doi.org/10.1201/b19015-18
Abstract
Most of the literature published on injury to the thoracic great vessels has focused on the aorta and on blunt thoracic aortic injury, which is a devastating injury that requires early recognition to minimize morbidity and mortality. Ninety-eight percent of patients with aortography were true positives, and 20% with chest Computed tomography (CT) had indirect signs of aortic injury. All patients with branch vessel injuries were diagnosed by aortography. There has been an increase in the use of CT scans for trauma and for diagnosing thoracic aortic injuries. Chest CT is a highly sensitive and specific test for thoracic aortic injury and is the diagnostic test of choice. Thoracic aortography is no longer routinely used to identify blunt aortic injury because it is invasive and associated with delays related to the need to set up the interventional suite and call in appropriate personnel.This publication has 0 references indexed in Scilit: