{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T21:50:28Z","timestamp":1762033828141},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"vor","delay-in-days":113,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aorta (Stamford)"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003In blunt trauma patients, injury of the thoracic aorta is the second most common cause of death after head injury. In recent years, thoracic endovascular aortic repair (TEVAR) has largely replaced open repair as the primary treatment modality, and delayed repair of stable aortic injuries has been shown to improve mortality. In light of these major advancements, we present a 10-year institutional experience from a tertiary cardiovascular surgery center.<\/jats:p><jats:p>\n          Methods\u2003Records of patients who underwent endovascular or open repair of the ascending, arch or descending thoracic aorta between January 2009 and December 2018 were retrospectively analyzed. Patients without blunt traumatic etiology were excluded. Perioperative data were retrospectively collected from patient charts. Long-term follow-up was performed via data from follow-up visits and phone calls.<\/jats:p><jats:p>\n          Results\u2003A total of 1,667 patients underwent 1,740 thoracic aortic procedures (172 TEVAR and 1,568 open repair). There were 13 patients (12 males) with a diagnosis of blunt thoracic aortic injury. Mean patient age was 43.6 years (range, 16\u201380 years). Ten (77%) patients underwent TEVAR, two (15.4%) underwent open repair, and one (7.7%) was treated nonoperatively. Procedure-related stroke was observed in one (7.7%) case. Procedure-related paraplegia did not occur in any patients. Left subclavian artery origin was covered in seven patients. None developed arm ischemia. Hospital survivors were followed-up for an average of 60.2 months (range, 4\u2013115 months) without any late mortality, endoleak, stent migration, arm ischemia, or reintervention.<\/jats:p><jats:p>\n          Conclusion\u2003Blunt thoracic aortic injury is a rare but highly fatal condition. TEVAR offers good early and midterm results. Left subclavian artery coverage can be performed without major complications.<\/jats:p>","DOI":"10.1055\/s-0040-1715608","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T23:47:00Z","timestamp":1616629620000},"page":"163-168","source":"Crossref","is-referenced-by-count":7,"title":["Blunt Traumatic Aortic Injury: 10-Year Single-Center Experience"],"prefix":"10.1055","volume":"08","author":[{"given":"Ahmet Can","family":"Topcu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamile","family":"Ozeren-Topcu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"Bolukcu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sinan","family":"Sahin","sequence":"additional","affiliation":[{"name":"Department of Radiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avni U.","family":"Seyhan","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilyas","family":"Kayacioglu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Dr. Siyami Ersek 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repair versus open thoracic aortic repair in pediatric blunt thoracic aortic injury","volume":"59","author":"B J Hasjim","year":"2019","journal-title":"Ann Vasc Surg"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1161\/01.CIR.17.6.1086","article-title":"Nonpenetrating traumatic injury of the aorta","volume":"17","author":"L F Parmley","year":"1958","journal-title":"Circulation"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1097\/TA.0000000000000470","article-title":"Evaluation and management of blunt traumatic aortic injury: a practice management guideline from the Eastern Association for the Surgery of Trauma","volume":"78","author":"N Fox","year":"2015","journal-title":"J Trauma Acute Care Surg"},{"issue":"03","key":"ref6","first-page":"561","article-title":"Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study","volume":"64","author":"D Demetriades","year":"2008","journal-title":"J Trauma"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1148\/radiology.205.3.9393517","article-title":"Traumatic thoracic aortic aneurysm: treatment with endovascular stent-grafts","volume":"205","author":"N Kato","year":"1997","journal-title":"Radiology"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.jamcollsurg.2018.12.022","article-title":"Blunt thoracic aortic \u0131njury: endovascular repair is now the standard","volume":"228","author":"T M Scalea","year":"2019","journal-title":"J Am Coll Surg"},{"issue":"04","key":"ref9","first-page":"967","article-title":"Blunt traumatic thoracic aortic injuries: early or delayed repair--results of an American Association for the Surgery of Trauma prospective study","volume":"66","author":"D Demetriades","year":"2009","journal-title":"J Trauma"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1016\/j.jvs.2009.02.234","article-title":"Blunt traumatic aortic injury: initial experience with endovascular repair","volume":"49","author":"A Azizzadeh","year":"2009","journal-title":"J Vasc Surg"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.jvs.2010.08.027","article-title":"Endovascular repair of traumatic thoracic aortic injury: clinical practice guidelines of the Society for Vascular Surgery","volume":"53","author":"W A Lee","year":"2011","journal-title":"J Vasc Surg"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1016\/j.jvs.2008.11.052","article-title":"Functional and survival outcomes in traumatic blunt thoracic aortic injuries: an analysis of the National Trauma Databank","volume":"49","author":"Z M Arthurs","year":"2009","journal-title":"J Vasc Surg"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1016\/0003-4975(94)90576-2","article-title":"Aortic injury in vehicular trauma","volume":"57","author":"J S Williams","year":"1994","journal-title":"Ann Thorac Surg"},{"issue":"01","key":"ref14","first-page":"197","article-title":"Blunt thoracic aortic injuries: an autopsy study","volume":"70","author":"P G Teixeira","year":"2011","journal-title":"J Trauma"},{"issue":"03","key":"ref15","first-page":"368","article-title":"Chronic pseudoaneurysm and coarctation of the aorta: a rare delayed complication of trauma","volume":"33","author":"U C Rangasetty","year":"2006","journal-title":"Tex Heart Inst J"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1097\/00005373-199703000-00003","article-title":"Prospective study of blunt aortic injury: multicenter trial of the American Association for the Surgery of Trauma","volume":"42","author":"T C Fabian","year":"1997","journal-title":"J Trauma"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.athoracsur.2010.03.053","article-title":"Progress in the treatment of blunt thoracic aortic injury: 12-year single-institution experience","volume":"90","author":"A L Estrera","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"S154","DOI":"10.1016\/j.jtcvs.2012.11.074","article-title":"Update on blunt thoracic aortic injury: fifteen-year single-institution experience","volume":"145","author":"A L Estrera","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1097\/00000658-200210000-00009","article-title":"Management of traumatic aortic rupture: a 30-year experience","volume":"236","author":"M G Cardarelli","year":"2002","journal-title":"Ann 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