{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T04:34:06Z","timestamp":1769834046546,"version":"3.49.0"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Private Universit\u00e4t Witten\/Herdecke gGmbH"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Thorakoabdominelle Pf\u00e4hlungsverletzungen mit Beteiligung der Aorta stellen eine extrem seltene, jedoch hochgradig lebensbedrohliche Traumakonstellation dar. Der vorliegende Fall beschreibt einen 50-j\u00e4hrigen Bauarbeiter, der nach einem Sturz aus etwa 8\u202fm H\u00f6he von einem senkrecht stehenden Holzstiel thorakoabdominell durchbohrt wurde. Dabei kam es zu multiplen Verletzungen von Lunge, Zwerchfell, Milz, Niere sowie zu einer gedeckten Dissektion der thorakalen Aorta. Die Versorgung erfolgte im Rahmen eines interdisziplin\u00e4ren zeitkritischen Managements mit notfallchirurgischen Interventionen und endovaskul\u00e4rer Aortenreparatur (\u201ethoracic endovascular aortic repair\u201c [TEVAR]). Trotz initialen h\u00e4morrhagischen Schocks und beatmungsassoziierten Komplikationen konnte der Patient stabilisiert und nach 6\u00a0Wochen in die station\u00e4re Rehabilitation \u00fcberf\u00fchrt werden. Der Fall unterstreicht die Bedeutung strukturierter Rettungsketten, moderner endovaskul\u00e4rer Techniken sowie einer fr\u00fchzeitigen psychotraumatologischen Betreuung zur Verbesserung des Langzeitergebnisses und zur Vermeidung posttraumatischer Folgest\u00f6rungen.<\/jats:p>","DOI":"10.1007\/s00113-025-01649-9","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T14:17:40Z","timestamp":1761747460000},"page":"145-150","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Thorakoabdominale Pf\u00e4hlungsverletzung mit Aortenbeteiligung","Thoracoabdominal impalement injury with aortic involvement"],"prefix":"10.1007","volume":"129","author":[{"given":"T.","family":"Strohmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Sch\u00f6ttes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4818-4311","authenticated-orcid":false,"given":"J.","family":"Richter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Albert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O.","family":"Adamczewski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Krahn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.-P.","family":"Stahl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"1649_CR1","doi-asserted-by":"publisher","first-page":"680","DOI":"10.1016\/S0003-4975(10)64779-0","volume":"45","author":"G Fradet","year":"1988","unstructured":"Fradet\u00a0G, Nelems\u00a0B, M\u00fcller\u00a0NL (1988) Penetrating injury of the torso with impalement of the thoracic aorta: preoperative value of the computed tomographic scan. 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