Edmunds Trauma to Great Vessels

Aortic

Innominate

Subclavian

Clamshell Thoracotomy

Trauma Scoring Systems

Aortic Injury

Widened Mediastinum

Aortagram
Aortic disruption at isthmus

Aortagram
Normal supra-aortic vessels

Aortogram
Aortic injury distal to left subclavian artery.

Intra-operative view. Aorta clamped and 8cm injured segment excised.

Widened mediastinum

Aortagram
Aortic injury distal to left subclavian artery.

Aortic transection
Widened Mediastinum

Aortic transection
CT scan

Widened mediastinum

Descending thoracic aortic injury

Aortic pseudoaneurysm with widened mediastinum

Aortic pseudoaneurysm with widened mediastinum

Aortic pseudoaneurysm with widened mediastinum

Aortic pseudoaneurysm with widened mediastinum

Innominate Artery Injury

Aortagram
Innominate artery injury

Resolution of injury following
non-operative management

Left subclavian artery stab
Chest X-ray

Left subclavian artery stab
Angiogram