Traumatic aortic transection
Revisión del 03:18 17 jul 2011 de Rossdonaldson1 (discusión | contribs.) (Created page with "==Background== *Not to be confused with Aortic Dissection *pt often asx, but die w/o warning, 80% die at scene, hypotension NOT from ruptured aorta (just die) *nd high suspic...")
Background
- Not to be confused with Aortic Dissection
- pt often asx, but die w/o warning, 80% die at scene, hypotension NOT from ruptured aorta (just die)
- nd high suspicion to dx!
Diagnosis
- CXR
- widened mediastinum(>8cm on supine film)
- CT
- good for aorta not branch vessels
- Aortography
- Gold standard
- 25% have complications (i.e. inf & hematoma)
Treatment
- keep sbp <120 w/ a & b blockers