Gunshot wounds to the thoracic aorta in the '90s: Only prevention will make a difference

E. E. Cornwell, F. Kennedy, T. V. Berne, Juan A. Asensio, D. Demetriades

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24 Scopus citations

Abstract

The clinical experience with gunshot injuries to the thoracic aorta at a large urban trauma center was reviewed. Of 1961 patients admitted with gunshot wounds to the chest, 20 sustained injuries to the thoracic aorta. Mortality occurred in 17 patients (85%), all of whom were hypotensive or moribund upon admission. The three patients (15%) presenting with a systolic blood pressure above 100 mm Hg survived; only one of these underwent surgery during the acute period. Only two patients were stable enough for aortography. Advances in the management of critically injured patients have not improved the outcome with this lethal injury.

Original languageEnglish
Pages (from-to)721-723
Number of pages3
JournalAmerican Surgeon
Volume61
Issue number8
Publication statusPublished - 1995
Externally publishedYes

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All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Cornwell, E. E., Kennedy, F., Berne, T. V., Asensio, J. A., & Demetriades, D. (1995). Gunshot wounds to the thoracic aorta in the '90s: Only prevention will make a difference. American Surgeon, 61(8), 721-723.