A new classification scheme for treating blunt aortic injury

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Presentation transcript:

A new classification scheme for treating blunt aortic injury Benjamin W. Starnes, MD, FACS, Rachel S. Lundgren, MD, Martin Gunn, MBChB, Samantha Quade, MD, Thomas S. Hatsukami, MD, Nam T. Tran, MD, Nahush Mokadam, MD, Gabriel Aldea, MD Journal of Vascular Surgery Volume 55, Issue 1, Pages 47-54 (January 2012) DOI: 10.1016/j.jvs.2011.07.073 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Blunt aortic injury classification scheme based on the presence or absence of aortic external contour abnormality on axial computed tomography imaging. Representative images are shown. Journal of Vascular Surgery 2012 55, 47-54DOI: (10.1016/j.jvs.2011.07.073) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Pseudoaneurysm width measurements. A, A width measurement of the maximum aortic diameter at the site of injury is shown. B, A width measurement of the normal aorta just distal to the site of injury is shown. The pseudoaneurysm size is calculated by subtracting the measurement in B from that in A. Journal of Vascular Surgery 2012 55, 47-54DOI: (10.1016/j.jvs.2011.07.073) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Size of hematoma measurement at the level of the aortic arch just distal to the left subclavian artery is shown on (left) axial and (right) oblique images. Journal of Vascular Surgery 2012 55, 47-54DOI: (10.1016/j.jvs.2011.07.073) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 A, Intimal tear is shown at the initial presentation on May 7, 2006. B, The tear was stable after 4 days (May 11). C, The tear was completely healed on follow-up imaging at 38 days (June 14). Journal of Vascular Surgery 2012 55, 47-54DOI: (10.1016/j.jvs.2011.07.073) Copyright © 2012 Society for Vascular Surgery Terms and Conditions