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

E. E. Cornwell; F. Kennedy; T. V. Berne; J. A. Asensio; D. Demetriades

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

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

Research output: Contribution to journal › Article › peer-review

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 language	English (US)
Pages (from-to)	721-723
Number of pages	3
Journal	American Surgeon
Volume	61
Issue number	8
State	Published - Jan 1 1995
Externally published	Yes

All Science Journal Classification (ASJC) codes

Surgery

Fingerprint Dive into the research topics of 'Gunshot wounds to the thoracic aorta in the '90s: Only prevention will make a difference'. Together they form a unique fingerprint.

Cite this

@article{f40eeb45b5ed4d6483596100184e3630,

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

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.",

author = "Cornwell, {E. E.} and F. Kennedy and Berne, {T. V.} and Asensio, {J. A.} and D. Demetriades",

year = "1995",

month = jan,

day = "1",

language = "English (US)",

volume = "61",

pages = "721--723",

journal = "American Surgeon",

issn = "0003-1348",

publisher = "Southeastern Surgical Congress",

number = "8",

}

TY - JOUR

T1 - Gunshot wounds to the thoracic aorta in the '90s

T2 - Only prevention will make a difference

AU - Cornwell, E. E.

AU - Kennedy, F.

AU - Berne, T. V.

AU - Asensio, J. A.

AU - Demetriades, D.

PY - 1995/1/1

Y1 - 1995/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0029059302&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029059302&partnerID=8YFLogxK

M3 - Article

C2 - 7618814

AN - SCOPUS:0029059302

VL - 61

SP - 721

EP - 723

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 8

ER -