FIGURE 23. Classification System for BTTAIs.
Aortic injuries are classified according to severity, based on the findings of diagnostic imaging. Grade 1, intimal tear. intimal flap, or both. Grade 2, intramural hematoma. Grade 3, aortic wall disruption with pseudoaneurysm. Grade 4, aortic wall disruption with free rupture. BTTAI indicates blunt traumatic thoracic aortic injury. Adapted from Azizzadeh et al,2 Copyright 2009, with permission from Elsevier, Inc. and the Society for Vascular Surgery.