76
Treatment
Figure 24. Abdominal Aortic Zones of Injury for Surgical
Approaches and Abdominal Zones of Injury Based
on Trauma Classification
A, e abdominal aortic zones of injury described by Shalhub, et al.
B, e abdominal zones of injury traditionally described in trauma. e abdominal aortic zones
of injury may help in prognostication and deciding whether an endovascular or open repair is
feasible. Shalhub, et al found that the mortality rate was highest in zone 2 (see panel A) grade
4 aortic injuries (see Table 33). Moreover, no zone 2 aortic injuries identified in a multicenter
experience were managed by endovascular means.
Panel A adapted from Shalhub, et al. J Vasc Surg. 2019;70:1543-1554. Copyright 2014, with
permission from Wolters Kluwer Health, Inc.
