Pediatric aortic trauma: a review of the literature

Document Type

Article

Publication Date

10-30-2025

Publication Title

Journal of Vascular Surgery

Abstract

No strong evidence-based guidelines exist regarding the management of pediatric aortic injuries. The patterns of pediatric aortic injury have changed and the incidence of penetrating aortic trauma, secondary to ballistic injuries, is increasing. Patterns of treatment have also changed with fewer open aortic repairs as more endovascular technologies evolve and are able to be applied to the pediatric population. Available data for the adult population while helpful cannot necessarily be extrapolated to the pediatric population. Patient size, anatomical factors and growth potential limit this applicability. In addition, studies define pediatric populations differently, and the age criteria for child, adolescent and mature pediatric patient vary widely. Long-term follow-up date is sparse to non-existent in the trauma population. The majority of studies are single institution reviews or case reports. More research is necessary in order to establish best practices for the management of aortic injury in children. This is a review of the current available literature regarding pediatric aortic injury both penetrating and blunt in the abdominal and thoracic aorta.

PubMed ID

41176283

Rights

© 2025 Society for Vascular Surgery

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