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Subintimal Aortic Dissection With Occlusion After Blunt Abdominal Trauma

Subintimal Aortic Dissection With Occlusion After Blunt Abdominal Trauma Abstract Although blunt trauma to the abdomen has long been a subject of interest to surgeons experienced in both war and civilian accidents, much attention has recently been focused on such injuries relative to automotive vehicular accidents. Abdominal wall contusions, abrasions, and hematomata now immediately arouse suspicion of intra-abdominal and pelvic visceral injury, especially when the victim has been wearing a seat belt. However, little has been written about disruption or occlusion of the abdominal aorta and its main branches as a complication of blunt abdominal trauma due to sudden deceleration with or without the use of a seat belt. Acute traumatic disruption of the thoracic aorta secondary to rapid deceleration is by no means rare and has been lucidly described by Beal et al in a recent review.1 Similar injuries to the abdominal aorta are considerably less frequent. Furthermore, among the types of aortic injuries incurred, traumatic subintimal dissection References 1. Beal AC Jr, Arbegast NR, Ripepi AC, et al: Aortic laceration due to rapid deceleration . Arch Surg 98:595, 1969.Crossref 2. Morris GC, Jr, Creech OJ, DeBakey ME: Acute arterial injuries in civilian practice . Amer J Surg 93:568, 1957.Crossref 3. Elliot JA: Acute arterial occlusion: Unusual cause . Surgery 39:825, 1956. 4. Moore TC: Acute arterial obstruction due to traumatic circumferential intimal fracture . Ann Surg 148:111, 1958.Crossref 5. Tomatis LA, et al: Circumferential intimal tear of the aorta with complete occlusion due to blunt trauma . J Trauma 8:1096, 1968.Crossref 6. Potter DJ, Hopkins JG: Reversible paraplegia and acute renal failure due to occlusive disease of the abdominal aorta . Ann Intern Med 69:111, 1968.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Subintimal Aortic Dissection With Occlusion After Blunt Abdominal Trauma

Archives of Surgery , Volume 100 (3) – Mar 1, 1970

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Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1970.01340210078019
Publisher site
See Article on Publisher Site

Abstract

Abstract Although blunt trauma to the abdomen has long been a subject of interest to surgeons experienced in both war and civilian accidents, much attention has recently been focused on such injuries relative to automotive vehicular accidents. Abdominal wall contusions, abrasions, and hematomata now immediately arouse suspicion of intra-abdominal and pelvic visceral injury, especially when the victim has been wearing a seat belt. However, little has been written about disruption or occlusion of the abdominal aorta and its main branches as a complication of blunt abdominal trauma due to sudden deceleration with or without the use of a seat belt. Acute traumatic disruption of the thoracic aorta secondary to rapid deceleration is by no means rare and has been lucidly described by Beal et al in a recent review.1 Similar injuries to the abdominal aorta are considerably less frequent. Furthermore, among the types of aortic injuries incurred, traumatic subintimal dissection References 1. Beal AC Jr, Arbegast NR, Ripepi AC, et al: Aortic laceration due to rapid deceleration . Arch Surg 98:595, 1969.Crossref 2. Morris GC, Jr, Creech OJ, DeBakey ME: Acute arterial injuries in civilian practice . Amer J Surg 93:568, 1957.Crossref 3. Elliot JA: Acute arterial occlusion: Unusual cause . Surgery 39:825, 1956. 4. Moore TC: Acute arterial obstruction due to traumatic circumferential intimal fracture . Ann Surg 148:111, 1958.Crossref 5. Tomatis LA, et al: Circumferential intimal tear of the aorta with complete occlusion due to blunt trauma . J Trauma 8:1096, 1968.Crossref 6. Potter DJ, Hopkins JG: Reversible paraplegia and acute renal failure due to occlusive disease of the abdominal aorta . Ann Intern Med 69:111, 1968.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Mar 1, 1970

References