Die traumatische Aortenruptur – Übersicht und neue Herausforderungen
摘要
Traumatic aortic rupture is usually caused by blunt chest trauma as a result of deceleration trauma. This often occurs in road traffic accidents. Despite significant advances in surgical management, the mortality rate remains high. Immediate imaging should be performed depending on the patient’s cardiopulmonary stability. The diagnostic tool of choice is computed tomography. Depending on the severity of the lesion and taking associated injuries into account, treatment can be initiated immediately or with a delay. Endovascular treatment is the gold standard of care. In order to enlarge the proximal landing zone of the stent graft, overstenting of the left subclavian artery can be necessary.