title: Current management of traumatic rupture of the descending thoracic aorta.
abstract: Traumatic rupture of the descending thoracic aorta remains a leading cause of death following major blunt trauma. Management has evolved from uniformly performing emergent open repair with clamp and sew technique to include open repair with mechanical circulatory support, medical management and most recently, endovascular repair. This latter approach appears, in the short term, to be associated with perhaps better outcome, but long term data is still accruing. While an attractive option, there are specific anatomic and physiologic factors to be considered in each individual case.
authors.affiliation: Divisions of Thoracic-Vascular and Trauma Surgery, Southwest Washington Medical Center, Vancouver WA, USA.
authors.forename: Riyad
authors.initials: R
authors.lastname: Karmy-Jones
authors.forename: Nichole
authors.initials: N
authors.lastname: Jackson
authors.forename: William
authors.initials: W
authors.lastname: Long
authors.forename: Alan
authors.initials: A
authors.lastname: Simeone