We commend Raulli et al. on an important contribution to the traumatic aortic injury
(TAI) literature, prefacing over 2,400 cases of TAI in pediatric patients and young
adults.
1
In this article, Raulli and colleagues found a considerably lower mortality rate
in patients who underwent repair with thoracic endografting (TEVAR) versus nonoperative
management (3.9% vs. 23.1%, P < 0.001). Based on these findings, the authors suggest that the reluctance or inability
to intervene with TEVAR in the pediatric population explains the higher rate of mortality
seen in those treated nonoperatively.To read this article in full you will need to make a payment
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References
- Trends and outcomes in management of thoracic aortic injury in children, adolescent, and mature pediatric patients using data from the national trauma data bank.Ann Vasc Surg. 2022; (Online ahead of print)
- Increased intra-abdominal hemorrhage after thoracic endovascular aortic replacement in patients with concomitant blunt aortic injuries and abdominal trauma: a national trauma data bank analysis.Eur J Cardiothorac Surg. 2022; 62: ezac494
- Pediatric thoracic trauma mortality in Iraq and Afghanistan compared to the United States national trauma data bank.Mil Med. 2022; 187: e338-e342
- Defining acute aortic syndrome after trauma: are Abbreviated Injury Scale codes a useful surrogate descriptor?.J Trauma Acute Care Surg. 2012; 73: 977-982
- National trends of thoracic endovascular aortic repair versus open thoracic aortic repair in pediatric blunt thoracic aortic injury.Ann Vasc Surg. 2019; 59: 150-157
- Blunt thoracic aortic injury: endovascular repair is now the standard.J Am Coll Surg. 2019; 228: 605-610
Article info
Publication history
Published online: December 24, 2022
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