Gulías-Soidán, DanielFraga-Manteiga, DanielMosquera Rodríguez, Víctor XesúsMarini Díaz, MilagrosLópez Bargiela, PaulaGonzález-Martín, CristinaBalboa-Barreiro, Vanesa2019-06-192019-06-192019Gulias-Soidan, D.; Fraga-Manteiga, D.; Mosquera-Rodriguez, V.X.; Marini-Diaz, M.; Lopez-Bargiela, P.; González-Martín, C.; Balboa-Barreiro, V. The Importance of the Mediastinal Triangle in Traumatic Lesions of the Aorta. Medicina 2019, 55, 263.1010-660Xhttp://hdl.handle.net/2183/23263[Abstract] Background: Trauma-induced aortic injuries continue to be an important factor in morbimortality in patients with blunt trauma. Objectives: To determine the characteristics of aortic lesions in patients with closed thoracic trauma and associated thoracic injuries. Methods: Multicenter cohort study conducted during the years 1994 to 2014 in the radiology service in the University Hospital Complex of A Coruña. Patients >15 years with closed thoracic trauma were included. Sociodemographic and clinical variables were studied in order to determine the lesion cause, location, and degree. Results: We analyzed 232 patients with a mean age of 46.9 ± 18.7 years, consisting of 81.4% males. The most frequent location was at the level of the isthmus (55.2%). The most frequent causes of injury were traffic accidents followed by falls. Patients with aortic injury had more esophageal, airway, and cardiopericardial lesions. More than 85% of the patients had lung parenchyma and/or chest wall injury, which was more prevalent among those who did not have an aortic lesion. Conclusions: Patients with trauma due to traffic accidents or being run over presented three times more risk of aortic injury than from other causes. Those with an aortic lesion also had a higher frequency of cardiopericardial, airway, and esophageal lesions.engCreative Commons Attribution (CC BY 4.0) licensehttp://creativecommons.org/licenses/by/4.0/AortaBlunt traumaThoracic traumajournal articleopen access