The literature is replete with articles and case reports concerning all types of injury to the aorta. Open trauma, by its very nature, is readily recognized and is often approached positively. The lack of aggressive attack in cases of closed injury to the aorta is probably due to several factors. First, one must be familiar with how the injury occurs,1,5,12 where it occurs,5,12,10 and how it is manifested.2,14,16 Knowing these basic things, one can make the diagnosis. Secondly, one must comprehend the variety of injuries1,3,5,11,12 possible and the principles of vascular surgery2 which may be brought to bear in the individual case. When one has these facts at hand, a rational plan of therapy may be evolved.
Closed injury to the aorta usually results from a combination of forces acting on the dynamic blood column within the thorax. The forces are (1) inertia, or "drag,"
MURDOCK CE. Traumatic Rupture of the Thoracic AortaReport of a Case. AMA Arch Surg. 1957;74(4):589-592. doi:10.1001/archsurg.1957.01280100107018