title: [Management of the traumatic aortic blunt injury in 2014].
abstract: Diagnosis of blunt thoracic aortic injury (BAI) should be considered in any serious polytrauma. The diagnosis is mainly based on the CT scan at baseline. Life-threatening lesions are often associated with BAI. Hospital mortality is mainly due to associated lesions. Except the complete rupture of the aorta, treatment should be initiated after hemodynamic and respiratory stabilization of the patient and after the treatment of a lesion involving the immediate prognosis. Endovascular treatment of BAI became the treatment of choice, especially for patients with severe associated injuries and bleeding risk. Additional data on the long-term stents are necessary in these young patients. Conventional surgical treatment is always indicated for young subjects with stable hemodynamic, low risk of bleeding and when surgery may be delayed several hours.
authors.affiliation: Centre chirurgical Marie-Lannelongue, service de chirurgie thoracique et vasculaire, 92350 Le Plessis Robinson, France.
authors.forename: Pierre-Emmanuel
authors.initials: PE
authors.lastname: Noly
authors.affiliation: Centre chirurgical Marie-Lannelongue, service de chirurgie thoracique et vasculaire, 92350 Le Plessis Robinson, France. Electronic address: o.mercier@ccml.fr.
authors.forename: Olaf
authors.initials: O
authors.lastname: Mercier
authors.affiliation: Centre chirurgical Marie-Lannelongue, service de cardiologie et radiologie interventionnelle, 92350 Le Plessis Robinson, France.
authors.forename: Claude
authors.initials: C
authors.lastname: Angel
authors.affiliation: Centre chirurgical Marie-Lannelongue, service de chirurgie thoracique et vasculaire, 92350 Le Plessis Robinson, France.
authors.forename: Dominique
authors.initials: D
authors.lastname: Fabre
authors.affiliation: Centre chirurgical Marie-Lannelongue, service de chirurgie thoracique et vasculaire, 92350 Le Plessis Robinson, France.
authors.forename: Sacha
authors.initials: S
authors.lastname: Mussot
authors.affiliation: Centre chirurgical Marie-Lannelongue, service de cardiologie et radiologie interventionnelle, 92350 Le Plessis Robinson, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Brenot
authors.affiliation: Centre chirurgical Marie-Lannelongue, service de cardiologie et radiologie interventionnelle, 92350 Le Plessis Robinson, France.
authors.forename: Jean-Yves
authors.initials: JY
authors.lastname: Riou
authors.affiliation: Centre chirurgical Marie-Lannelongue, service de cardiologie et radiologie interventionnelle, 92350 Le Plessis Robinson, France.
authors.forename: Riad
authors.initials: R
authors.lastname: Bourkaib
authors.affiliation: Centre chirurgical Marie-Lannelongue, service de cardiologie et radiologie interventionnelle, 92350 Le Plessis Robinson, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Planché
authors.affiliation: Centre chirurgical Marie-Lannelongue, service de chirurgie thoracique et vasculaire, 92350 Le Plessis Robinson, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Dartevelle
authors.affiliation: Centre chirurgical Marie-Lannelongue, service de chirurgie thoracique et vasculaire, 92350 Le Plessis Robinson, France.
authors.forename: Elie
authors.initials: E
authors.lastname: Fadel
mesh_terms: D001013:Aorta, Thoracic / Q000293:injuries*; D001019:Aortic Rupture / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D057510:Endovascular Procedures / Q000379:methods / Q000592:standards / Q000639:trends; D017052:Hospital Mortality; D006801:Humans; D017410:Practice Guidelines as Topic / Q000592:standards; D013898:Thoracic Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*