This content is not included in
your SAE MOBILUS subscription, or you are not logged in.
Study of Potential Mechanisms of Traumatic Rupture of the Aorta Using
InSitu
Experiments
Technical Paper
2006-22-0011
Annotation ability available
Sector:
Language:
English
Abstract
Traumatic rupture of the aorta (TRA) is an important transportation-related injury. This study investigated TRA mechanisms using in situ human cadaver experiments. Four quasi-static tests and one dynamic test were performed. The quasi-static experiments were conducted by perturbing the mediastinal structures of the cadavers. The mechanisms investigated included anterior, superior, and lateral displacement of the heart and aortic arch. The resulting injuries ranged from partial tears to complete transections. All injuries occurred within the peri-isthmic region. Intimal tears were associated with the primary injuries. The average failure load and stretch were 148 N and 30 percent for the quasi-static tests. This study illustrates that TRA can result from appropriate application of nominal levels of longitudinal load and tension. The results demonstrate that intraluminal pressure and whole-body acceleration are not required for TRA to occur. The results suggest that the role of the ligamentum arteriosum is likely limited, and that TRA can occur in the absence of pulmonary artery injury. Tethering of the descending thoracic aorta by the parietal pleura is a principal aspect of this injury.
Recommended Content
Authors
Citation
Hardy, W., Shah, C., Kopacz, J., Yang, K. et al., "Study of Potential Mechanisms of Traumatic Rupture of the Aorta UsingAlso In
References
- Cammack K. Rapport R.L. Paul J. Baird W.C. 1959 Deceleration injuries of the thoracic aorta AMA Archives of Surgery 79 2 244 251
- Cavanaugh J.M. 1993 The biomechanics of thoracic trauma In Accidental Injury: Biomechanics and Prevention Nahum A.M. Melvin J.W. 362 90 Springer-Verlag New York
- Cavanaugh J.M. Walilko T.J. Malhotra A. Zhu Y. King A.I. 1990 Biomechanical response and injury tolerance of the thorax in twelve sled side impacts SAE Technical Paper 902307 Society of Automotive Engineers , Warrendale, PA
- Cavanaugh J.M. Koh S.W. Kaledhonkar S.L. Hardy W.N. 2005 An analysis of traumatic rupture of the aorta in side impact sled tests SAE Technical Paper 2005-01-0304 Society of Automotive Engineers Warrendale, PA
- Coermann R. Dotzauer G. Lange W. Voigt G.E. 1972 The effects of the design of the steering assembly and the instrument panel on injuries (especially aortic rupture) sustained by car drivers in head-on collision The Journal of Trauma 12 8 715 724
- Collins R. Hu W. C. L. 1972 Dynamic deformation experiments on aortic tissue Journal of Biomechanics 5 4 333 337
- Dischinger P.C. Cowley R.A. Shanker B.S. Smialek J.E. 1988 The incidence of ruptured aorta among vehicular fatalities Proc. 32 nd AAAM Annual Meeting 15 23 Association for the Advancement of Automotive Medicine Barrington, IL
- Hardy W.N. Shah C.S. Mason M.J. Yang K.H. Van Ee C.A. Morgan R. Digges K. 2006 Investigation of Potential Mechanisms of Traumatic Rupture of the Aorta Proc. 5 th World Congress of Biomechanics, Abstract 5245 S156
- Hass G.M. 1944 Types of internal injuries of personnel involved in aircraft accidents Journal of Aviation Medicine 15 77 84
- Kallieris D. Mattern R. Schimdt G. Eppinger R. 1981 Quantification of side impact responses and injuries Proc. 25 th Stapp Car Crash Conference 329 366 Society of Automotive Engineers Warrendale, PA
- Katyal D. McLellan B.A. Brenneman F.D. Boulanger B.R. Sharkey P.W. Waddell J.P. 1997 Lateral impact motor vehicle collisions: Significant cause of blunt traumatic rupture of the thoracic aorta The Journal of Trauma 42 5 769 772
- Kirshner R. Seltzer S. D'Orsi C. DeWeese J.A. 1983 Upper rib fractures and mediastinal widening: Indications for aortography The Annals of Thoracic Surgery 35 4 450 454
- Klotz O. Simpson W. 1932 Spontaneous Rupture of the Aorta American Journal of the Medical Sciences 184 455 473
- Kroell C. Schneider D. Nahum A. 1974 Impact tolerance and response of the human thorax II Proc. 18 th Stapp Car Crash Conference 383 457 Society of Automotive Engineers Warrendale, PA
- Lanir Y. Lichtenstein O. Imanuel O. 1996 Optimal design of biaxial tests for structural material characterization of flat tissues Journal of Biomechanical Engineering 118 1 41 47
- Letterer E. 1924 Beitrage zur entstehung der aortenruptur an typischer stelle Virchows Archiv fur Pathologische Anatomie und Physiologie und fur Klinische Medizin 253 534 544
- Lundevall J. 1964 The mechanism of traumatic rupture of the aorta Acta Pathologica et Microbiologica. Scandinavica 62 34 46
- Marcus J.H. Morgan R.M. Eppinger R.H. Kallieris D. Mattern R. Schmidt G. 1983 Human Response to and injury from lateral impact Proc. 27 th Stapp Car Crash Conference 419 432 Society of Automotive Engineers Warrendale, PA
- Melvin J.W. Baron K.J. Little W.C. Gideon T.W. 1998 Biomechanical analysis of Indy race car crashes Proc. 42 nd Stapp Car Crash Conference 247 266 Society of Automotive Engineers Warrendale, PA
- Mohan D. Melvin J. 1982 Failure properties of passive human aortic tissue. I-uniaxial tension tests Journal of Biomechanics 15 11 887 902
- Mohan D. Melvin J. 1983 Failure properties of passive human aortic tissue. II-Biaxial Tension Tests Journal of Biomechanics 16 1 31 44
- Parmley L.F. Mattingly T. Manion T. Janhke E.J. Jr. 1958 Nonpenetrating traumatic injury of the aorta Circulation 17 6 1086 1101
- Rindfleisch E. 1893 Zur entstehung and heilung des aneurysma dissecans aortae Virchows Archiv fur Pathologische Anatomie und Physiologie und fur Klinische Medizin 131 374 378
- Roberts V.L. Jackson F.R. Berkas E.M. 1966 Heart motion due to blunt trauma to the thorax Proc. 10 th Stapp Car Crash Conference 242 248 Society of Automotive Engineers Warrendale, PA
- Shah C.S. Yang K.H. Hardy W.N. Wang K.H. King A.I. 2001 Development of a computer model to predict aortic rupture due to impact loading Stapp Car Crash Journal 45 161 182
- Shah C.S. Lee J.B. Hardy W.N. King KH 2004 A partially validated finite element whole-body human model for organ level injury prediction Proc. 2004 ASME International Mechanical Engineering Congress and Exposition, IMECE2004-61844 American Society of Mechanical Engineers New Yrok, NY
- Shah C.S. Maddali M. Mungikar S.A. Beillas P. Hardy W.N. Yang K.H. Bedewi P.G. Digges K. Augenstein J. 2005a Analysis of a real-world crash using finite element modeling to examine traumatic rupture of the aorta SAE Technical Paper 2005-01-1293 Society of Automotive Engineers Warrendale, PA
- Shah C.S. Mason M.J. Yang K.Y. Hardy W.N. Van Ee C.A. Morgan R. Digges K. 2005b High-speed biaxial tissue properties of the human cadaver aorta Proc. 2005 ASME International Mechanical Engineering Congress and Exposition, IMECE2005-82085 American Society of Mechanical Engineers New Yrok, NY
- Stapp J.P. 1957 Human tolerance to deceleration American Journal of Surgery 93 4 734 740
- Siegel J.H. Yang K.H. Smith J.A. Siddiqi S.Q. Shah C.S. Maddali M. Hardy W.N. 2006 Computer simulation and validation of the Archimedes Lever Hypothesis as a mechanism for aortic isthmus disruption in a case of lateral impact motor vehicle crash The Journal of Trauma 60 5 1072 1082
- Society of Automotive Engineers (2003) J211/1 Instrumentation for impact test - part 1 - electronic instrumentation Society of Automotive Engineers Warrendale, PA
- Strassmann G. 1947 Traumatic Rupture of the Aorta American Heart Journal 33 508 515
- Sturm J.T. Luxenberg M.G. Moudry B.M. Perry J.F. 1989 Does sternal fracture increase the risk for aortic rupture? The Annal of Thoracic Surgery 48 5 697 698
- Taylor F.R. 1962 Thrombocytopenia following abrupt deceleration ARL-TDR 62-30 ARL, AMD, AFSC, Holloman AFB New Mexico
- Viano D.C. 1978 Evaluation of biomechanical response and potential injury from thoracic impact Aviation. Space, and Environmental Medicine 49 1 125 135
- Viano D. 1983 Biomechanics of non-penetrating aortic trauma: A review Proc. 27 th Stapp Car Crash Conference 109 114 Society of Automotive Engineers Warrendale, PA
- Viano D.C. 1989 Biomechanical responses and injuries in blunt lateral impact Proc. 33 rd Stapp Car Crash Conference 113 142 Society of Automotive Engineers Warrendale, PA
- Voigt G.E. Wilfert K. 1969 Mechanisms of injuries to unrestrained drivers in head-on collisions Proc. 13 th Stapp Car Crash Conference, pp. 295 313 Society of Automotive Engineers Warrendale, PA
- Zehnder M.A. 1960 The mechanism and mechanics of the accident in aortic rupture in the closed thoracic trauma Thoraxchirurgie 8 47 65