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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Jan 26, 2026; 18(1): 111254
Published online Jan 26, 2026. doi: 10.4330/wjc.v18.i1.111254
Published online Jan 26, 2026. doi: 10.4330/wjc.v18.i1.111254
Non-operative management of blunt traumatic aortic injuries
Veysel Embel, Department of Surgery, Jersey Shore University Medical Center, Neptune, NJ 07753, United States
Muhammad Saad Hafeez, Department of Surgery, Henry Ford St John Hospital, Detroit, MI 48236, United States
Larissa Russo, Nasim Ahmed, Department of Surgery, Division of Trauma and Surgical Critical Care, Jersey Shore University Medical Center, Neptune, NJ 07753, United States
Author contributions: Russo L and Ahmed N contributed to supervising and mentoring in writing the manuscript; Ahmed N contributed to conceptualization, supervised, mentoring, and wrote the original and revision of the manuscript. All the authors wrote the original manuscript and revised the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nasim Ahmed, FACS, Full Professor, Department of Surgery, Division of Trauma and Surgical Critical Care, Jersey Shore University Medical Center, 1945 NJ-33, Neptune City, NJ 07753, United States. nasim.ahmed@hmhn.org
Received: June 26, 2025
Revised: July 25, 2025
Accepted: December 4, 2025
Published online: January 26, 2026
Processing time: 203 Days and 9.8 Hours
Revised: July 25, 2025
Accepted: December 4, 2025
Published online: January 26, 2026
Processing time: 203 Days and 9.8 Hours
Core Tip
Core Tip: The non-operative management of blunt traumatic grade I aortic injury is a relatively common practice. The management of grade II aortic injury varies; some providers prefer an endovascular approach, while others prefer non-operative management. Successful non-operative management is associated with lower mortality and resolution of the primary pathology. However, non-operative management if not routinely applied for higher grade aortic injuries and the majority prefer an endovascular approach for higher grade, III or more, injury.