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American Journal of Roentgenology, Vol 104, 424-432, Copyright © 1968 by American Roentgen Ray Society

ROENTGENOGRAPHIC FINDINGS IN EXTRACARDIAC INJURY SECONDARY TO BLUNT CHEST AUTOMOBILE TRAUMA

T. A. FREED M.D.1, M. P. NEAL JR. M.D.1, and MELVIN VINIK M.D.1

1 From the Department of Radiology, The Medical College of Virginia, Richmond, Virginia

Early recognition of extracardiac vascular injury secondary to severe blunt chest trauma is imperative, in view of the dismal survival rates of undiagnosed patients with this type of injury. Suspicion of this injury depends on chest roentgenographic findings: widening or progressive widening of the mediastinum, abnormal or obliterated aortic contours, development or increase in hemothorax. Definitive diagnosis depends on angiographic study, preferably

[See figure in the pdf file]

retrograde arteriography. Approximately 80 per cent of injuries will be aneurysms of the aortic isthmus area. Less common sites of injuries are lacerations or aneurysms of the aortic supravalvular area, arch and great vessels. High quality arteriography is frequently necessary to adequately delineate injury in these less common sites.


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 ANGIOLOGYHome page
D. Violon, R. Steppe, W. Welch, and G. Primo
Traumatic Rupture of the Ascending Aorta: A Case Report
Angiology, October 1, 1982; 33(10): 690 - 694.
[Abstract] [PDF]


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Copyright © 1968 by the American Roentgen Ray Society.