Gavantreported classification for blunt aortic trauma (BAI). The author is from the University of Tennessee.
Patient selection: blunt aortic trauma (BAI)
Parameters:
(1) aorta
(2) mediastinal hematoma
(3) involvement of ascending aorta, arch or great vessel
Aorta |
Mediastinal Hematoma |
Involvement Sites |
Grade |
normal |
absent |
NA |
IA |
normal |
present |
NA |
IB |
minimal aortic injury, small pseudoaneurysm, flap, thrombus |
absent |
NA |
IIA |
minimal aortic injury, small pseudoaneurysm, flap, thrombus |
present |
NA |
IIB |
regular and well-defined pseudoaneurysm > 1 cm with intimal flap or thrombus |
present |
absent |
IIIA |
regular and well-defined pseudoaneurysm > 1 cm with intimal flap or thrombus |
present |
present |
IIIB |
total aortic disruption |
present |
NA |
IV |
large, irregular and poorly defined pseudo-aneurysm with intimal flap or thrombus |
present |
NA |
IV |
where:
• A small pseudoaneurysm would be < 1 cm.
Specialty: Surgery, orthopedic, Emergency Medicine