RT Book, Section
A1 Williams, Mallory
A1 Lebenthal, Abraham
A2 Nazzal, Munier
A2 Blebea, John
A2 Osman, Mohamed F.
SR Print(0)
ID 1200679354
T1 Thoracic Vascular Trauma
T2 Vascular and Endovascular Surgery: Clinical Diagnosis and Management
YR 2024
FD 2024
PB McGraw Hill
PP New York, NY
SN 9781260462715
LK accesssurgery.mhmedical.com/content.aspx?aid=1200679354
RD 2024/10/15
AB Trauma  to  the  major  vascular  structures  of  the  thoracic  cavity  is  caused  by  either  penetrating  mechanisms  or  acceleration–deceleration  forces  that  tear  vascular  structures  that  are  fixed  within  the  thoracic  cavity.  Less  than  10%  of  blunt  injuries  and  only  15%  to  30%  of  penetrating  injuries  in  the  thoracic  cavity  will  require  thoracotomy.1  Traditionally,  of  the  patients  receiving  thoracotomy,  only  25%  will  have  a  thoracic  vascular  injury.2  While  penetrating  injuries  may  damage  any  thoracic  vascular  structure,  blunt  injuries  typically  only  impact  the  thoracic  aorta,  innominate  artery,  and  intercostal  vessels.  Both  blunt  and  penetrating  vascular  trauma  to  the  chest  can  be  lethal.  However,  most  thoracic  vascular  injuries  will  require  only  airway  management  and  thoracostomy  tube  for  the  drainage  of  the  resulting  hemothorax.1