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Module 4: Thoracic Injuries

Segment 9: Great Vessel Injuries

References labeled PEDS contain a pediatric element or primary focus.

Topic: Great vessel injuries

  • Asensio JA, Ceron SA, Mondschein DJ, et al. Predictors of outcomes in 1,441 vascular injuries: 10-year experience in a large urban trauma center. J Am Coll Surg. 2026;242(4):1067-1076. doi: 10.1097/xcs.0000000000001802 https://pubmed.ncbi.nlm.nih.gov/41589887/.
  • Brown CVR, de Moya M, Brasel KJ, et al. Blunt thoracic aortic injury: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg. 2023;94(1):113-116. doi: 10.1097/ta.0000000000003759 https://pubmed.ncbi.nlm.nih.gov/35999667/.
  • Brown SR, Still SA, Eudailey KW, et al. Acute traumatic injury of the aorta: presentation, diagnosis, and treatment. Ann Transl Med. 2020;9(14):1193. doi: 10.21037/atm-20-3172 https://pubmed.ncbi.nlm.nih.gov/34430634/.
  • Caballero L, Gross M, Tran J, et al. Seal the bleed or wait to proceed? Resuscitation and early vs. delayed timing for thoracic endovascular aortic repair in blunt thoracic aortic injury. Am J Surg. 2025;250:116527. doi: 10.1016/j.amjsurg.2025.116527 https://pubmed.ncbi.nlm.nih.gov/40752130/.
  • Coutinho ML, da Nobrega Oliveira REN, Delgado LM, et al. Systematic review and meta-analysis of endovascular repair for traumatic subclavian artery injury. J Vasc Surg. 2026;83(4):1211-1221.e22. doi: 10.1016/j.jvs.2025.11.016 https://pubmed.ncbi.nlm.nih.gov/41265586/.
  • DuBose J, Kundi R, Curi MA, et al. The Society for Vascular Surgery clinical practice guideline on the management of blunt thoracic aortic injury: Focused update. J Vasc Surg. 2026;83(5):1281-1290.e8. doi: 10.1016/j.jvs.2026.02.013 https://pubmed.ncbi.nlm.nih.gov/41874481/.
  • Firwana M, Seisa M, Farah M, et al. A systematic review supporting the development of the Society for Vascular Surgery Clinical Practice Guidelines on the management of blunt thoracic aortic injury. J Vasc Surg. 2026;83(5):1291-1297.e16. doi: 10.1016/j.jvs.2025.05.208 https://pubmed.ncbi.nlm.nih.gov/40482894/.
  • Gaither M, Petrikas M, MacHugh A, et al. Blunt thoracic aortic injury in the geriatric population: Results from the Aortic Trauma Foundation. J Am Coll Surg. 2026;doi: 10.1097/xcs.0000000000002051 https://pubmed.ncbi.nlm.nih.gov/42223160/.
  • Golestani S, Dubose JJ, Efird J, et al. Nonoperative management for low-grade blunt thoracic aortic injury. J Am Coll Surg. 2024;238(6):1099-1104. doi: 10.1097/xcs.0000000000001056 https://pubmed.ncbi.nlm.nih.gov/38407302/.
  • Gupta S, Kumar A, Kaur T, et al. Current updates in acute traumatic aortic injury: radiologic diagnosis and management. Clin Exp Emerg Med. 2022;9(2):73-83. doi: 10.15441/ceem.22.233 https://pubmed.ncbi.nlm.nih.gov/35843607/.
  • Hasjim BJ, Grigorian A, Barrios C, Jr., et al. A national trauma care system: Integrating military and civilian trauma systems to achieve zero preventable deaths after injury. Ann Vasc Surg. 2019;59:150-157. doi: 10.1016/j.avsg.2018.12.094 https://pubmed.ncbi.nlm.nih.gov/30802562/. PEDS
  • Jansen JO, Hudson J, Cochran C, et al. Emergency department resuscitative endovascular balloon occlusion of the aorta in trauma patients with exsanguinating hemorrhage: The UK-REBOA randomized clinical trial. JAMA. 2023;doi: 10.1001/jama.2023.20850 https://pubmed.ncbi.nlm.nih.gov/37824132/.
  • Khoynezhad A, Donayre CE, Azizzadeh A, et al. One-year results of thoracic endovascular aortic repair for blunt thoracic aortic injury (RESCUE trial). J Thorac Cardiovasc Surg. 2015;149(1):155-61 e4. doi: 10.1016/j.jtcvs.2014.09.026 https://pubmed.ncbi.nlm.nih.gov/25439771/.
  • Kobayashi L, Perkins L, Johnston W, et al. American Association for the Surgery of Trauma-World Society of Emergency Surgery guidelines on the diagnosis and management of major thoracic vascular injuries. J Trauma Acute Care Surg. 2026;100(2):306-319. doi: 10.1097/ta.0000000000004844 https://pubmed.ncbi.nlm.nih.gov/41532881/.
  • Kudo D, Yoshida Y, Kushimoto S. Permissive hypotension/hypotensive resuscitation and restricted/controlled resuscitation in patients with severe trauma. J Intensive Care. 2017;5(11) doi: 10.1186/s40560-016-0202-z https://pubmed.ncbi.nlm.nih.gov/34798698/.
  • Liu M, Yu L, Yu D, et al. A meta-analysis of the timing of endovascular repair for blunt thoracic aortic injury: Safety and efficacy of early vs. delayed treatment. Am J Surg. 2025;249:116564. doi: 10.1016/j.amjsurg.2025.116564 https://pubmed.ncbi.nlm.nih.gov/40834662/.
  • Manchella MK, Rastogi V, Bellomo TR, et al. The association of repair timing on outcomes following thoracic endovascular aortic repair for intramural hematoma. J Vasc Surg. 2026;83(2):350-360.e1. doi: 10.1016/j.jvs.2025.08.004 https://pubmed.ncbi.nlm.nih.gov/40803598/.
  • Matthews R, Chou EL, Dubose JJ, et al. Impact of trauma center volume on treatment strategies and outcomes of blunt traumatic aortic injuries. J Vasc Surg. 2026;doi: 10.1016/j.jvs.2026.01.035 https://pubmed.ncbi.nlm.nih.gov/41654034/.
  • Tetsuro U, Mitsuaki S. Thoracic endovascular aortic repair for acute aortic dissection. Ann Vasc Dis. 2018;11(4):464-472. doi: 10.3400/avd.ra.18-00127 https://pubmed.ncbi.nlm.nih.gov/30637000/.
  • Watanabe K, Fukuda I, Asari Y. Management of traumatic aortic rupture. Surg Today. 2013;43(12):1339-46. doi: 10.1007/s00595-012-0471-7 https://pubmed.ncbi.nlm.nih.gov/23338596/.
  • Yu L, Baumann BM, Raja AS, et al. Blunt traumatic aortic injury in the pan-scan era. Acad Emerg Med. 2019;27(4):291-296. doi: 10.1111/acem.13900 https://pubmed.ncbi.nlm.nih.gov/31811732/.