GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Blunt thoracic aortic injury

Case contributed by Patrick Lu
Diagnosis certain

Presentation

Pedestrian vs vehicle. Witnessed loss of consciousness. Found to be GCS 10-11/15 at the scene. Intubated at the scene. E-fast scan of chest and abdomen at the scene were negative. Mildly hypotensive on transfer to ED.

Patient Data

Age: 15 years
Gender: Male

CT A demonstrating transection of thoracic aorta at level of T4-6 with associated anterior pseudoaneurysm and surrounding mediastinal para-aortic hematoma extending down to the aortic hiatus. Appearances are suggestive of a contained aortic transection with a slow leak

Case Discussion

Grade IV aortic injury. The patient underwent an endovascular repair of the aortic transection.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.