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
From the case:
Blunt thoracic aortic injury
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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.