Traumatic Aortic Injury - Delayed Management

Author: John Hermsen, MD; Edward Verrier, MD
Institution: University of Washington
Date Reviewed: July 2014
Learning Domain: Adult Cardiac Surgery
Learning Objective: Traumatic Aortic Injury; Great Vessel Disease
PowerPoint File: Traumatic Aortic Injury - Delayed Management

Discussion Points for Conference

• Diagnostic Approaches to Deceleration Injury
  • Sensitivity/Specificity/Accuracy
• Timing of Intervention
• Is there ever a role for non-operative management?
• Open vs Interventional Approaches to therapy
• Long term outcomes with TEVAR

Learning Points

• Blunt Aortic Injury can be simple vs complex
• Injury can be isolated or combined with other blunt trauma
• Delayed therapy is acceptable in some cases
• Endovascular  approaches to repair are currently preferred