Description

Prijon and Ermenc reported a classification for the consequences of blunt trauma to the aorta with rupture. The authors are from the University of Ljubljana in Slovenia.


Term

Description

tear

limited injury involving only part of a wall

laceration or rupture

injury involving the entire wall (transmural)

transection

laceration of most or all of the circumference

 

Major types of blunt aortic trauma:

(1) intramural (Type I)

(2) transmural (Type II)

(3) multiple (Type III)

 

Type I Injury

Subtype

tear of the tunica intima

IA

tear of the tunica intima and inner layer of tunica media

IB

tear of the tunica intimae and outer layer of tunica media with or without involvement of the adventitia

IC

pseudoaneurysm

ID

 

 

Type II Injury

Subtype

partial transmural rupture

IIA

total transmural rupture

IIB

transection (transmural rupture through total aortic circumference)

IIB

rupture of pseudoaneurysm

IIIC

 

 

Type III Injury

Subtype

multiple Type I ruptures

IIIA

multiple Type II ruptures

IIIC

multiple Type I and Type II ruptures

IIIB

 


To read more or access our algorithms and calculators, please log in or register.