Aortic transection

Case contributed by Dr Hani Salam

Presentation

Trauma

X-ray

ETT and NGT are in expected positions.

Widened mediastinum, left apical cap and pleural effusion. In the setting of trauma is highly suspicious of mediastinal haematoma. 

CT

There is abnormal contour of the proximal descending aorta just distal to the origin of the left subclavian artery (abnormal contour of aortic isthmus), associated with luminal filling defect (flap) and surrounding loss of fat planes in the mediastinum, consistent with mediastinal haematoma. There is bilateral pleural effusion, more on the left side, with collapse of the left lower lobe. No contrast extravasation seen. 

Interpretation: Features of acute aortic injury along wit mediastinal and pleural haematoma. 

Case Discussion

Victim of MVA with aortic transection.

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Case information

rID: 9279
Case created: 28th Mar 2010
Last edited: 29th Nov 2015
Systems: Vascular, Chest
Tag: aorta
Inclusion in quiz mode: Included

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