Rupture of the thoracic aorta and its relationship to road traffic accident characteristics

Newman, Raymond J.; Rastogi, Shishir

Affiliations

¹Nuffield Orthopaedic Centre, Oxford

Abstract

A 3-year prospective study of road traffic accidents was carried out in Oxfordshire by a combined team of surgeons and engineers. This liaison permitted the comparison of injuries with details of the collisions. Twelve cases of rupture of the thoracic aorta were recorded and in 10 cases the lesion was just distal to the origin of the left subclavian artery. The mean velocity change during the impacts was 38.3 mph, and it is suggested that oblique and transverse forces to the chest as well as rapid deceleration are aetiological factors in this condition.

Links

DOI: 10.1016/0020-1383(84)90049-4

PubMed: 6706387

WoS: A1984SK87600002

History

Accepted: 1983-06-28

Cited Works (2)

Year	Entry
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Cited By (13)

Year	Entry
1992	Cavanaugh J, Zhu Y, King AI. Biomechanical response and injury tolerance of the thorax in seventeen cadaveric side impacts. In: Proceedings of the 2nd Injury Prevention Through Biomechanics Symposium. April 10-11, 1992; Detroit, MI.81-105.
2002	Cavanaugh JM. Biomechanics of thoracic trauma. In: Nahum AM, Melvin JW, eds. Accidental Injury: Biomechanics and Prevention. 2nd ed. New York, NY: Springer-Verlag; 2002:374-404.
2015	Cavanaugh JM, Yoganandan N. Thorax injury biomechanics. In: Yoganandan N, Nahum AM, Melvin JW, eds. Accidental Injury: Biomechanics and Prevention. 3rd ed. New York: Springer; 2015:331-372.
1989	Schneider LW, King AI, Beebe MS. Design Requirements and Specifications: Thorax-Abdomen Development Task: Interim Report: Trauma Assessment Device Development Program. Ann Arbor, MI: University of Michigan Traffic Research Institute (UMTRI); November 1989. UMTRI Publication UMTRI 89-20.
2002	Franklyn M, Fitzharris M, Yang K, Frampton R, Morris A, Fildes B. Aortic injuries in side impacts: a preliminary analysis. In: 46th Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). September 30–October 2, 2002; Tempe, AZ.
2006	Shah CS, Hardy WN, Yang KH, Van Ee CA, Morgan RM, Digges KH. Investigation of traumatic rupture of the aorta (TRA) using simulated real-world accidents involving aortic injuries. In: Proceedings of the 34th International Workshop on Human Subjects for Biomechanical Research. 2006.103-118.
2016	Otte D, Facius T, Klintschar M, Brand S. Investigations and injury mechanisms of aortic ruptures among vehicle occupants and vulnerable road users over time. In: Proceedings of the 2016 International IRCOBI Conference on the Biomechanics of Injury. September 14-16, 2016; Malaga, Spain.870-887.
2008	Hardy WN, Shah CS, Mason MJ, Kopacz JM, Yang KH, King AI, Van Ee CA, Bishop JL, Banglmaier RF, Bey MJ, Morgan RM, Digges KH. Mechanisms of traumatic rupture of the aorta and associated peri-isthmic motion and deformation. Stapp Car Crash J. 2008;52:233-265. SAE 2008-22-0010.
2009	Echemendia Fuentes CG. Inertia Effect of the Heart as a Contributing Factor in Aortic Injuries in Near-Side Impacts [Master's thesis]. Washington, DC: The George Washington University; January 31, 2009.
2005	Forbes PA. Development of a Human Body Model for the Analysis of Side Impact Automotive Thoracic Trauma [Master's thesis]. University of Waterloo; 2005.
2008	Thor CP. Characteristics of Thoracic Organ Injuries in Frontal Crashes [Master's thesis]. Virginia Polytechnic Institute and State University; December 10, 2008.
1995	Wang H-CK. Development of a Side Impact Finite Element Human Thoracic Model [PhD thesis]. Detroit, MI: Wayne State University; 1995.
2007	Shah CS. Investigation of Traumatic Rupture of the Aorta (TRA) by Obtaining Aorta Material and Failure Properties and Simulating Real-World Aortic Injury Crashes Using the Whole-Body Finite Element (FE) Human Model [PhD thesis]. Detroit, MI: Wayne State University; 2007.