Abstract

The cases of 7 patients with aortic rupture treated at Grady Memorial Hospital during the last four years and all the reports in the English literature of patients with aortic rupture who were treated surgically within the first three postinjury weeks were reviewed. This combined experience revealed the frequent occurrence of a triad which appears to be of great value in the early diagnosis of rupture of the aorta. This triad consists of (1) increased pulse amplitude and blood pressure in the upper extremities, (2) decreased pulse amplitude and blood pressure of the lower extremities, and (3) roentgenographic evidence of widening of the mediastinum. Aortography is the only confirmatory diagnostic test and should be done as soon as the diagnosis of aortic rupture is suspected. Repair of the ruptured aorta should be performed as soon as possible.

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