Traumatic aortic transection: Difference between revisions
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==Background== | ==Background== | ||
*Not to be confused with [[Aortic Dissection]] | *Not to be confused with [[Aortic Dissection]] | ||
* | *Pt often asymptomatic but die w/o warning (80% die at scene) | ||
* | *Hypotension NOT from ruptured aorta (just die) | ||
*Need high suspicion to diagnose | |||
==Diagnosis== | ==Diagnosis== | ||
*CXR | *CXR | ||
** | **Widened mediastinum(>8cm on supine film) | ||
*CT | *CT | ||
** | **Good for aorta but not for branch vessels | ||
*Aortography | *Aortography | ||
**Gold standard | **Gold standard | ||
**25% have complications (i.e. | **25% have complications (i.e. infection & hematoma) | ||
==Treatment== | ==Treatment== | ||
* | *Keep SBP <120 w/ alpha/beta blockers | ||
==See Also== | ==See Also== | ||
Revision as of 22:00, 10 May 2012
Background
- Not to be confused with Aortic Dissection
- Pt often asymptomatic but die w/o warning (80% die at scene)
- Hypotension NOT from ruptured aorta (just die)
- Need high suspicion to diagnose
Diagnosis
- CXR
- Widened mediastinum(>8cm on supine film)
- CT
- Good for aorta but not for branch vessels
- Aortography
- Gold standard
- 25% have complications (i.e. infection & hematoma)
Treatment
- Keep SBP <120 w/ alpha/beta blockers