Travmatik Aort Hasarı

İlkin Guliyev

doi:10.37609/akya.3207

Yazarlar

İlkin Guliyev

https://orcid.org/0000-0002-5528-4480

DOI: https://doi.org/10.37609/akya.3207.c12053

Özet

Travmatik Aort Hasarı (TAH), özellikle genç erişkinlerde künt veya penetran travmalar sonucu meydana gelen önemli bir ölüm sebebidir. Bu bölüm, TAH'ın etiyolojisi, mekanizmaları, klinik belirtileri, görüntüleme teknikleri, sınıflandırma sistemleri ve tedavi yaklaşımlarını ele almaktadır. En yaygın neden, motorlu taşıt kazalarından kaynaklanan künt travmalardır ve en sık etkilenen bölge aort istmusudur. Yüksek mortalite oranları nedeniyle TAH'ın erken teşhisi, Bilgisayarlı Tomografi Anjiyografi gibi görüntüleme yöntemleriyle kritik öneme sahiptir. TAH'ın sınıflandırılması, uygun tedavi yönteminin belirlenmesi açısından önemlidir; hafif yaralanmalar konservatif olarak yönetilirken, ciddi vakalar için cerrahi veya endovasküler onarım gerekmektedir. Endovasküler onarım, açık cerrahiye kıyasla daha düşük morbidite ve mortalite oranları nedeniyle tercih edilen yöntem haline gelmiştir.

Traumatic Aortic Injury (TAI) is a significant cause of mortality, particularly among young adults, often resulting from blunt or penetrating trauma. This section discusses the etiology, mechanisms, clinical presentations, imaging techniques, classification systems, and treatment approaches for TAI. Blunt trauma, especially from motor vehicle accidents, is the most common cause, with the aortic isthmus being the most frequently affected site. Early diagnosis using imaging modalities like CT angiography is crucial due to the high mortality rates associated with TAI. The classification of TAI is essential for determining the appropriate treatment, ranging from conservative management for minor injuries to surgical or endovascular repair for severe cases. Endovascular repair has become the preferred method due to its lower morbidity and mortality rates compared to open surgery.

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