Review Article

Mediastinal assessment in traumatic rupture of the aorta

C. M. Young
South African Journal of Radiology | Vol 1, No 2 | a1612 | DOI: https://doi.org/10.4102/sajr.v1i2.1612 | © 2018 C. M. Young | This work is licensed under CC Attribution 4.0
Submitted: 15 August 2018 | Published: 31 May 1996

About the author(s)

C. M. Young, Department of Radiology, Groote Schuur Hospital and University of Cape Town, South Africa

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Abstract

The precise method for measuring mediastinal widening in thoracic trauma is poorly understood and too much emphasis is placed on it as the sole criterion for performing aortography. This review article describes the established methods of measurement and their limitations, and also discusses the importance of other signs pointing to aortic rupture such as blurring of the aortic knuckle and a subjective impression of mediastinal abnormality which are more helpful in determining the need for angiography.

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