Facultade de Fisioterapia

The importance of the mediastinal triangle in traumatic lesions of the aorta

Gulias-Soidán, D.; Fraga-Manteiga, D.; Mosquera-Rodríguez, V. X.; Marini-Diaz, M.; López-Bargiela, P.; González-Martín, C.; Balboa Barreiro, Vanesa
Abstract:
Background: Trauma-induced aortic injuries continue to be an important factor in morbimortality in patients with blunt trauma. Objectives: To determine the characteristics of aortic lesions in patients with closed thoracic trauma and associated thoracic injuries. Methods: Multicenter cohort study conducted during the years 1994 to 2014 in the radiology service in the University Hospital Complex of A Coruña. Patients >15 years with closed thoracic trauma were included. Sociodemographic and clinical variables were studied in order to determine the lesion cause, location, and degree. Results: We analyzed 232 patients with a mean age of 46.9 ± 18.7 years, consisting of 81.4% males. The most frequent location was at the level of the isthmus (55.2%). The most frequent causes of injury were traffic accidents followed by falls. Patients with aortic injury had more esophageal, airway, and cardiopericardial lesions. More than 85% of the patients had lung parenchyma and/or chest wall injury, which was more prevalent among those who did not have an aortic lesion. Conclusions: Patients with trauma due to traffic accidents or being run over presented three times more risk of aortic injury than from other causes. Those with an aortic lesion also had a higher frequency of cardiopericardial, airway, and esophageal lesions. © 2019 by the authors. Licensee MDPI, Basel, Switzerland
Year:
2019
Type of Publication:
Article
Keywords:
Aorta; Blunt trauma; Thoracic trauma
Journal:
Medicina (Lithuania)
Volume:
55
Number:
6
Pages:
Article number 263
Month:
June
Note:
Q3 84/160 h-index 1.467 (JCR2018)
DOI:
10.3390/medicina55060263
Hits: 1150