Aortic rupture in high-speed skiing crashes

Heller, Georg; Immer, Franz F; Savolainen, Hannu; Kraehenbuehl, Eva S; Carrel, Thierry P; Schmidli, Juerg (2006). Aortic rupture in high-speed skiing crashes. Journal of trauma - injury, infection, and critical care, 61(4), pp. 979-80. Baltimore, Md.: Lippincott, Williams, & Wilkins 10.1097/01.ta.0000228878.09533.99

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BACKGROUND: New equipment and techniques in winter sports, such as carving skis and snowboards, have brought up new trauma patterns into the spectrum of leisure trauma. The injuries resemble high-energy trauma known from road crashes. The aim of the present study was to assess the incidence of acute traumatic descending aortic rupture in recreational skiing-crashes. MATERIAL: Between January 1995 and December 2004, 22 patients were admitted to our hospital for aortic rupture. Four patients had skiing crashes (18.2%). Mean age was 31 years, all patients were male. In two cases, aortic rupture was associated with fractures of the upper and lower extremities. One patient additionally had a cerebral contusion with an initial Glasgow Coma Scale score of 13. In two patients, isolated aortic rupture was diagnosed. RESULTS: Two patients were treated by graft interposition, and one by endograft. One patient arrived under mechanical resuscitation without blood pressure. He died at admission. He had been observed for 5 hours in another hospital, complaining of severe intrascapular back pain, before transport to our trauma unit for unknown bleeding. In the other three cases, treatment was successful. CONCLUSION: Rescue services and paramedics should be aware of this new type of injury. Acute aortic rupture has to be considered as possible injury in high velocity skiing crashes.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Immer, Franz F.; Savolainen, Hannu Olavi; Roost, Eva; Carrel, Thierry and Schmidli, Jürg

ISSN:

0022-5282

ISBN:

17033572

Publisher:

Lippincott, Williams, & Wilkins

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:48

Last Modified:

06 Dec 2013 13:42

Publisher DOI:

10.1097/01.ta.0000228878.09533.99

PubMed ID:

17033572

Web of Science ID:

000241413700040

URI:

https://boris.unibe.ch/id/eprint/19974 (FactScience: 3053)

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