• R M Benz, V Makaloski, M Brönnimann, N Mertineit, and H von Tengg-Kobligk.
• Diagnostische, Interventionelle und Pädiatrische Radiologie, Inselspital, Universität Bern, Freiburgstr. 18, 3010, Bern, Schweiz. robyn.benz@insel.ch.
• Unfallchirurg. 2021 Aug 1; 124 (8): 601-609.

BackgroundTraumatic aortic injuries (TAI) are rare injuries in blunt thoracic trauma, which have a high morbidity and mortality. Rapid and accurate diagnosis as well as the correct choice of treatment are elementary for patient survival.ObjectiveDetermination of the current standards for diagnostics of TAI in the acute trauma setting and evaluation of the current guidelines for treatment.Material And MethodsA literature search was carried out for articles describing diagnostics of TAI. Furthermore, the guidelines for treatment and follow-up of TAI were summarized.ResultsDespite the low specificity conventional chest X‑ray is still named in the literature as initial diagnostic procedure. Primarily, computed tomography (CT) should follow as the method of choice for diagnostics and treatment stratification due to the high sensitivity and specificity. Thoracic endovascular aortic repair (TEVAR) is recommended by all guidelines as first line treatment of higher grades of TAI (grades II-IV) and has replaced open surgery in most cases.ConclusionAfter rapid diagnosis and classification of TAI with CT, in most cases TEVAR has become the preferred treatment over open surgery.© 2021. The Author(s).

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