[Management of seat-belt aorta in severe polytrauma: a review]. / Traumatisme fermé de l'aorte abdominale chez le polytraumatisé. Comment hiérarchiser la prise en charge à la phase aiguë ?
J Mal Vasc
; 36(4): 237-42, 2011 Jul.
Article
en Fr
| MEDLINE
| ID: mdl-21684701
Blunt trauma of the abdominal aorta is rare. Secondary to high-energy trauma, it is observed mainly in association with complex lesions. Evaluation of injury to the aorta must be a priority due to the risk of life-threatening massive hemorrhage. The clinical presentation can be quite obvious but also variable and often misleading. If in doubt, a systematic injected whole body scan is essential to diagnose aortic lesions. Hemorrhage or ischemia dictates emergency laparotomy. Opening the retroperitoneum increases the risk of infection if there is an associated gastrointestinal tract injury and may contraindicate use of arterial prostheses. Endovascular treatment can be proposed for less symptomatic lesions, including intimal dissection. Stents can be inserted via a femoral approach. In the event of juxtarenal dissection, there is a risk of renal artery thrombosis. Endovascular treatment is currently not recommended. This treatment can be delayed for a few days if necessary. Morbidity is low and long-term results are good.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Aorta Abdominal
/
Cinturones de Seguridad
/
Heridas no Penetrantes
Tipo de estudio:
Etiology_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
Fr
Revista:
J Mal Vasc
Año:
2011
Tipo del documento:
Article
País de afiliación:
Francia
Pais de publicación:
Francia