In A, injury to aoa causing aoic rupture is most commonly seen in?
Traumatic Aoic Rupture Traumatic Aoic Rupture is a cause of sudden death after an automobile collision or fall from a great height Vessel is relatively fixed distal to the ligamentum aeriosum, just distal to the origin of left subclan aery Causes : Trauma to the chest, Rapid deceleration injury Clinical presentation Traumatic Aoic Rupture is lethal in 75-90% of patients and only 15-20% arrive at the hospital alive Approximately 90% of those who arrive alive at the hospital have an injury in the region of the Aoic isthmus > Injuries to the ascending aoa. Usually associated with other injuries like solid organ. Diagnosis X-ray chest : Widened mediastinum Aoography : Gold standard for diagnosis Contrast enhanced CT, Transesophageal Echocardiography (TEE) are useful in making diagnosis Treatment Control of systolic BP to less than 100mmHg Endovascular intra-Aoic stenting Direct repair or excision & Grafting using a Dacron graft Ref : CSDT 11th edition Pgno : 257-259
Pedestrian
Mototcyclist
Car driver
Person accompanying car driver
Trauma