Natural history of traumatic rupture of the thoracic aorta managed nonoperatively: a longitudinal analysis James H Holmes, MD, Robert D Bloch, MD, R.Alan.

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Presentation transcript:

Natural history of traumatic rupture of the thoracic aorta managed nonoperatively: a longitudinal analysis James H Holmes, MD, Robert D Bloch, MD, R.Alan Hall, MD, Yvonne M Carter, MD, Riyad C Karmy-Jones, MD The Annals of Thoracic Surgery Volume 73, Issue 4, Pages 1149-1154 (April 2002) DOI: 10.1016/S0003-4975(01)03585-8

Fig 1 The traumatic rupture of the thoracic aorta dilemma. (A) Intimal flap (arrow) in a 49-year-old man that resolved without operation. (B) Intimal flap (arrow) in a 33-year-old man that progressed to free rupture and death on postinjury day 5. The Annals of Thoracic Surgery 2002 73, 1149-1154DOI: (10.1016/S0003-4975(01)03585-8)

Fig 2 A DELAY group patient, a 40-year-old man, with progression of traumatic rupture of the thoracic aorta. (A) Admission helical chest computed tomography (CT) scan with pseudoaneurysm (arrow) in descending thoracic aorta. (B) Four-day follow-up chest CT demonstrating enlargement of pseudoaneurysm by 1 cm (arrow). The Annals of Thoracic Surgery 2002 73, 1149-1154DOI: (10.1016/S0003-4975(01)03585-8)

Fig 3 A NON-OP group patient, a 69-year-old woman, with intimal flap and stable pseudoaneurysm. (A) Admission computed tomography (CT) scan with flap and small pseudoaneurysm (arrow). (B) Ten-day follow-up CT with stable small pseudoaneurysm (arrow). (C) CT at 2 months postinjury without change (arrow). The Annals of Thoracic Surgery 2002 73, 1149-1154DOI: (10.1016/S0003-4975(01)03585-8)