Traumatic rupture of the aorta (TRA) remains the second most common cause of death associated with motor vehicle crashes, only less prevalent than brain injury. On average, nearly 8000 people die annually in the United States due to blunt injury to the aorta. It is observed that over 80% of occupants who suffer an aortic injury die at the scene due to exsanguination into the chest cavity. In the current study, eight near side lateral impacts, in which TRA occurred, were reconstructed using a combination of real world crash data reported in the Crash Injury Research and Engineering Network (CIREN) database, finite element (FE) models of vehicles, and the Wayne State Human Body Model - II (WSHBM). For the eight CIREN cases reconstructed, the high strain regions in the aorta closely matched with the autopsy data provided. The peak average maximum principal strains in all of the eight CIREN cases were localized in the isthmus region of the aorta, distal to the left subclavian artery, and averaged at 22 ± 6.2% while the average maximum pressure in the aorta was found to be 117 ± 14.7 kPa.
Issue Section:
Research Papers
Keywords:
aortic injury,
CIREN,
accident reconstruction,
finite element,
isthmus,
strain,
failure,
biomechanics
References
1.
Smith
, R. S.
and Chang
, F. C.
, 1986, “Traumatic Rupture of the Aorta: Still a Lethal Injury
,” Am. J. Surg.
, 152
, pp. 660
–663
.2.
Burkhart
, H. M.
, Gomez
, G. A.
, Jacobson
, L. E.
, Pless
, J. E.
, and Broadie
, T. A.
, 2001, “Fatal Blunt Aortic Injuries: A Review of 242 Autopsy Cases
,” J. Trauma
, 50
(1
), pp. 113
–115
.3.
Bertrand
, S.
, Cuny
, S.
, Petit
, P.
, Trosseille
, X.
, Page
, Y.
, Guillemot
, H.
, and Drazetic
, P.
, 2008, “Traumatic Rupture of Thoracic Aorta in Real-World Motor Vehicle Crashes
,” Traffic Injury Prevention
, 9
(2
), pp. 153
–161
.4.
Franklyn
, M. Fitzharris, M. Fildes, B. Yang, K. Frampton, R. Morris, A.
, 2003, “A Preliminary Analysis of Aortic Injuries in Lateral Impacts
,” Traffic Injury Prevention
, 4
(3
), pp. 263
–269
.5.
Augenstein
, J. S.
, Perdeck
, E.
, Williamson
, J.
, Stratton
, J.
, Murtha
, M.
, Sapnas
, K.
, Digges
, K.
, Malliaris
, A. C.
, and Lombardo
, L.
, 1997, “Heart Injuries Among Restrained Occupants in Frontal Crashes
,” Soc. Automot. Eng. [Spec. Publ.]
(970392
).6.
Katyal
, D.
, McLellan
, B. A.
, Brenneman
, F. D.
, Boulanger
, B. R.
, Sharkey
, P.W.
, and Waddell
, J. P.
, 1997, “Lateral Impact Motor Vehicle Collisions: Significant Cause of Blunt Traumatic Rupture of the Thoracic Aorta
,” J. Trauma
, 42
(5
), pp. 769
–772
.7.
Shah
, C. S.
, Maddali
, M.
, Mungikar
, S. A.
, Beillas
, P.
, Hardy
, W. N.
, Yang
, K. H.
, Bedewi
, P. G.
, Digges
, K. H.
, and Augenstein
, J.
, 2005, “Analysis of a Real-World Crash Using Finite Element Modeling to Examine Traumatic Rupture of the Aorta
,” Occupant Safety, Safety-Critical Systems, and Crashworthiness, SAE World Congress
. Detroit, MI.8.
Guan
, F.
, Belwadi
, A.
, Han
, X.
, and Yang
, K.
, 2009, “Application of Optimization Methodology on Vehicular Crash Reconstruction
,” Proceedings of IMECE2009, ASME International Mechanical Engineering Congress, and Exposition
, November 13-19, Lake Buena Vista, Florida, USA.9.
Wang
, K. H.
, 1995, “Development of a Side Impact Finite Element Human Thoracic Model
,” Ph.D. dissertation, Wayne State University, Detroit, MI.10.
Shah
, C. S.
, Yang
, K. H.
, Hardy
, W. N.
, Wang
, K. H.
, and King
, A. I.
, 2001, “Development of Computer Model to Predict Aortic Rupture Due to Impact Loading
,” Stapp Car Crash Journal
, 45
, pp. 161
–182
.11.
Lee
, J. B.
and Yang
, K. H.
, 2001, “Development of a Finite Element Model of the Human Abdomen
,” Proceedings of the 45th Stapp Car Crash Conference
, pp. 79
–100
.12.
Iwamoto
, M.
, Miki
, K.
, Mohammad
, M.
, Nayef
, A.
, Yang
, K. H.
, Begeman
, P. C.
, and King
, A. I.
, 2000, “Development of a Finite Element Model of the Human Shoulder
,” Proceedings of the 44th Stapp Car Crash Conference
, pp. 281
–297
13.
Kroell
, C. K.
, Schneider
, D. C.
, and Nahum
, A. M.
, 1974, “Impact Tolerance and Response of the Human Thorax II
,” Proc. 18th Stapp Car Crash Conference
, pp. 383
–457
.14.
Viano
, D. C.
, 1989, “Biomechanical Responses and Injuries in Blunt Lateral Impact
,” Proceedings of the 33rd Stapp Car Crash Conference
, pp. 113
–142
.15.
Shah
, C. S.
, Hardy
, W. N.
, Yang
, K. H.
, Van Ee
, C. A.
, Morgan
, R. M.
, and Digges
, K. H.
, 2007, “Investigation of the Traumatic Rupture of the Aorta (TRA) by Simulating Real-World Accidents
,” Proceedings of the 2007 International Research Council on Biomechanics of Injury
, Maastricht, The Netherlands, pp. 349
–359
.16.
Roberts
, S. B.
and Chen
, P. H.
, 1970, “Elastostatic Analysis of the Human Thoracic Skeleton
,” J. Biomech.
, 3
, pp. 527
–545
.17.
Sudaram
, S. H.
and Feng
, C. C.
, 1977, “Finite Element Analysis of the Human Thorax
,” J. Biomech.
, 10
(8
), pp. 505
–516
.18.
Plank
, G. R.
and Eppinger
, R. H.
, 1991, “An Improved Finite Element Model of the Human Thorax
,” 13th Enhanced Safety Vehicles Congress
, pp. 902
–907
.19.
Huang
, Y.
, King
, A. I.
, and Cavanaugh
, J. M.
, 1994, “Finite Element Modeling of Gross Motion of Human Cadavers in Side impact
,” Proceedings of the 38th Stapp Car Crash Conference
, pp. 35
–53
.20.
Schneider
, L. W.
, Robbins
, D. H.
, Pflug
, M. A.
, and Snyder
, R.G.
, 1983, “Anthropometry of Motor Vehicle Occupants
,” Vol. 2
, Report No. UMTRI-83-53-2, NHTSA.21.
Lizee
, E.
, Robin
, S.
, Song
, E.
, Bertholon
, N.
, Lecoz
, J.
, Besnault
, B.
, and Lavaste
, F.
, 1998, “Development of a 3D Finite Element Model of the Human Body
,” Proceedings of the 42nd Stapp Car Crash Conference
, pp. 115
–138
.22.
Iwamoto
, M.
, Kisanuki
, Y.
, Watanable
, I.
, Furusu
, K.
, Miki
, K.
, and Hasegawa
, J.
, 2002, “Development of a Finite Element Model of the Total Human Model for Safety (THUMS) and Application to Injury Construction
,” Proceedings of the 2002 International Research Council on Biomechanics of Injury, Munich, Germany
, pp. 31
–42
.23.
Viano
, D.
, 1983, “Biomechanics of Non-Penetrating Aortic Trauma: A Review
,” Proceedings of the 27th Stapp Car Crash Conference
, pp. 109
–114
.24.
Siegel
, J. H.
, Smith
, J. A.
, and Siddiqi
, S. Q.
, 2004, “Change in Velocity and Energy Dissipation on Impact in Motor Vehicle Crashes as a Function of the Direction of Crash: Key Factors in the Production of Thoracic Aortic Injuries, Their Pattern of Associated Injuries and Patient Survival. A Crash Injury Research Engineering Network (CIREN) Study
,” J. Trauma
, 57
(4
), pp. 760
–777
.25.
Siegel
, J. H.
, Belwadi
, A.
, Smith
, J. A.
, Shah
, C.
, and Yang
, K.
, 2010, “Analysis of the Mechanism of Lateral Impact Aortic Isthmus Disruption in Real-Life Motor Vehicle Crashes Using a Computer-Based Finite Element Numeric Model: With Simulation of Prevention Strategies
,” J. Trauma
, 68
, pp. 1375
–1395
.26.
SAE J224
, 1980, “Collision Deformation Classification
,” Society of Automotive Engineers Surface Vehicle Standard
, Warrendale
, PA
.27.
Presola
, G. R.
, Pesola
, H. R.
, Nelson
, M. J.
, and Westfal
, R. E.
, 2001, “The Normal Difference in Bilateral Indirect Blood Pressure Recordings in Normotensive Individuals
,” Am. J. Emerg. Med.
, 19
(1
), pp. 43
–45
.28.
Sauaia
, A.
, Moore
, F. A.
, Moore
, E. E.
, Moser
, K. S.
, Brennan
, R.
, Read
, R. A.
, and Pons
, P. T.
, 1995, “Epidemiology of Trauma Deaths: A Reassessment
,” J. Trauma
, 38
(2
), pp. 185
–193
.29.
Demetriades
, D.
, Velmahos
, G. C.
, and Scalea
, T. M.
, 2008, “Diagnosis and Treatment of Blunt Thoracic Aortic Injuries: Changing Perspectives
,” J. Trauma
, 64
, pp. 1415
–1419
.30.
Lundevall
, J.
, 1964, “The Mechanism of Traumatic Rupture of the Aorta
,” Acta Pathol. Microbiol. Scand.
, 62
, pp. 34
–46
.31.
Mohan
, D. and Melvin, J.
, 1982, “Failure Properties of Passive Human Aortic Tissue I Uniaxial Tension Tests
,” J. Biomech.
, 15
(11
), pp. 887
–902
.32.
Mohan
, D. and Melvin, J.
, 1983, “Failure Properties of Passive Human Aortic Tissue II Biaxial Tension Tests
,” J. Biomech.
, 16
(1
), pp. 31
–44
.33.
Fung
, Y. C.
, 1993, Biomechanics: Mechanical Properties of Living Tissue
, Springer-Verlag
, New York
.34.
Shah
, C. S.
, Hardy
, W. N.
, Mason
, M. J.
, Yang
, K. H.
, Van Ee
, C. A.
, Morgan
, R.
, and Digges
, K.
, 2006, “Dynamic Biaxial Tissue Properties of the Human Cadaver Aorta
,” Stapp Car Crash Journal
, 50
, pp. 217
–246
.35.
Shah
, C. S.
, 2007, “Investigation of Traumatic Rupture of the Aorta (TRA) by Obtaining Aorta Material and Failure Properties and Simulation Real-World Aortic Injury Crashes using the Whole-Body Finite (FE) Human Model
,” Ph. D. dissertation, Wayne State University, Detroit, MI.36.
Oppenheim
, F.
, 1918, “Gibt Eine Spontane Rupture der Gesunden Aorta und Wie Kommt es Zustande?
,” Muenchener Medizinische Wockenschrift
, pp. 1234
–1237
.37.
Bass
, C. R.
, Darvish
, K.
, Bush
, B.
, Crandall
, J. R.
, Srinivasan
, S. C. M.
, Tribble
, C.
, Fiser
, S.
, Tourret
, L.
, Evans
, J. C.
, Patrie
, J.
, and Wang
, C.
, 2001, “Material Properties for Modeling Traumatic Aortic Rupture
,” Stapp Car Crash Journal
, 45
, pp. 143
–160
.38.
Zehnder
, M. A.
, 1960, “The Mechanism and Mechanics of the Accident in Aortic Rupture Due to Closed Thoracic Trauma
,” Thoraxchir Vask Chir.
, 8
, pp. 47
–65
.39.
Hardy
, W. N.
, Shah
, C. S.
, Mason
, M. J.
, Kopacz
, J. M.
, Yang
, K. H.
, King
, A. I.
, Bishop
, J. L.
, Banglmaier
, R. F.
, Bey
, M. J.
, Morgan
, R. M.
, and Digges
, K. H.
, 2008, “Mechanisms of Traumatic Rupture of the Aorta and Associated Peri-Isthmic Motion and Deformation
,” Stapp Car Crash Journal
, 52
, pp. 233
–265
.40.
Bonnet
, L. M.
, 1903, “Congenital Stenosis of the Aorta
,” Rev. Med. Paris
, 23
, p. 108
.41.
Niehoff
, P. P.
, 2006, “The Accuracy of WinSmash Delta-V Estimates: The Influence of Vehicle Type, Stiffness, and Impact Mode
,” Annual Proceedings of the Association for the Advancement of Automotive Medicine
, 50
, pp. 1540
–0360
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by American Society of Mechanical Engineers
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