چكيده لاتين :
Blunt traumatic aortic transection (TAT) is an uncommon injury in clinical practice and is
associated with high rates of morbidity and mortality. The approach to patients with such an injury
is controversial, with specific regard to the most effective diagnostic tools, timing of surgical
intervention, and mechanisms of spinal cord protection. Chest X-ray with the widening of the
mediastinum is unreliable as a diagnostic tool. Contrast-enhanced helical CT scan has replaced the
traditional angiography as the screening diagnostic tool of choice. Active augmentation of the distal
perfusion pressure during cross-clamping offers the best protection against the development of
paraplegia during open surgical repair. Endovascular stenting offers a minimally invasive method of
treatment, but the long-term durability of the endovascular stent is still unknown
