Author/Editor		Ermenc, Branko; Prijon, Ticijana; Balažic, Jože
Title		Mehanizmi in epidemiologija rupture aorte pri prometnih nezgodah
Translated title		Mechanisms and epidemiology of the aortic ruptures in road accidents
Type		članek
Source		In: Balažic J, Štefanič B, editors. Travmatizem v cestnem prometu. 10. spominsko srečanje akademika Janeza Milčinskega. Medicinsko izvednestvo 2000; 2000 dec 5-6; Ljubljana. Ljubljana: Medicinska fakulteta, Inštitut za sodno medicino,
Publication year		2000
Volume		str. 155-61
Language		slo
Abstract		An injury to the aorta in road accidents is the consequence of a sudden change in the speed of movement of the body, an abrupt shock or compression of the thorax when the body hits an obstacle or a surface. The site of the aortic injury depends on the mechanism of injury, whereas the type, scope and number of injuries depend on the force exerted on a surface unit of the vessel wall. An injury to the aorta often accompanies a polytrauma and is therefore often overlooked. The incidence of traumatic ruptures is different in individual groups of persons involved in traffic and depends on the mechanisms of road accidents. A retrospective study covering the five-year period from 1995 to 1999 includes 544 people who died in road accidents. The aortic rupture was found in 170 deceased (31 %). The most frequent site of aortic rupture was the isthmus (80.5 % of all ruptures). The incidence of aortic rupture was 25.7 % in pedestrians, 13.8 % in cyclists, 26.3 % in drivers of motorcycles, 49.4 % in car front-seat passengers, 20.7 % in other car passengers, 16.6 % in lorry drivers and 16.6 % in lorry passengers. The aortic rupture is an injury with high incidence, therefore it should be suspected in all people suffering from polytrauma after road accidents. The groups of people involved in traffic with the highest risk for aortic rupture are car front-seat passengers and drivers.
Descriptors		ACCIDENTS, TRAFFIC AORTIC RUPTURE FORENSIC MEDICINE