In this 2024 Update Course Rewind, pediatric surgeons Drs. Regan Williams and Katie Russell share new updates on the management of thoracic aortic injuries. Classified as a “Black Diamond” practice—indicating unproven approaches for early adopters—this session reviews how Thoracic Endovascular Aortic Repair (TEVAR) is emerging as a less invasive and effective treatment option in pediatric patients, especially adolescents.

Host: Lizzy Lee, PA-C

Key Takeaways:

• Prioritize stabilization and life-threatening injuries before addressing thoracic aortic injury.
• Thoracic aortic injuries in children are rare and can be easily missed—maintain a high index of suspicion.
• A widened mediastinum on chest X-ray should prompt a CT chest to evaluate for vascular injury.
• Decisions should be guided by patient age, injury severity, and available expertise at your institution.
• Collaboration with vascular surgeons or interventional radiologists is essential for optimal care.