CT angiography of non-aortic thoracic arterial trauma
- PMID: 37704920
- DOI: 10.1007/s10140-023-02170-5
CT angiography of non-aortic thoracic arterial trauma
Abstract
While aortic injury is the most commonly cited thoracic arterial injury, non-aortic arterial injuries represent an uncommon but significant source of morbidity and mortality in blunt and penetrating thoracic trauma patients. Knowledge of the spectrum of vascular injury and anatomic considerations that dictate patterns of associated thoracic hemorrhage will assist the radiologist in the accurate and efficient diagnosis of these injuries. This article provides a review of anatomy, pertinent clinical exam and CT angiography findings, as well as therapeutic options for non-aortic thoracic arterial trauma.
Keywords: Arterial; Axillary artery; Brachiocephalic artery; CT angiography; Common carotid artery; Innominate artery; Intercostal artery; Internal mammary artery; Internal thoracic artery; Pulmonary artery; Subclavian artery; Subcostal artery; Thorax; Trauma; Vascular; Vertebral artery.
© 2023. The Author(s), under exclusive licence to American Society of Emergency Radiology (ASER).
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References
-
- Dosios TJ, Salemis N, Angouras D, Nonas E (2000) Blunt and penetrating trauma of the thoracic aorta and aortic arch branches: an autopsy study. J Trauma 49:696–703. https://doi.org/10.1097/00005373-200010000-00018 - DOI - PubMed
-
- Smith RS, Chang FC (1986) Traumatic rupture of the aorta: still a lethal injury. Am J Surg 152:660–663. https://doi.org/10.1016/0002-9610(86)90444-7 - DOI - PubMed
-
- Hoff SJ, Reilly MK, Merrill WH, Stewart J, Frist WH, Morris JA Jr (1994) Analysis of blunt and penetrating injury of the innominate and subclavian arteries. Am Surg 60:151–154 - PubMed
-
- Platz JJ, Fabricant L, Norotsky M (2017) Thoracic trauma: injuries, evaluation, and treatment. Surg Clin 97(August (4)):783–799
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