Minimal aortic injury

Case contributed by Dr Henry Knipe

Presentation

High speed motor vehicle collision.

Patient Data

Age: 30 years
Gender: Male
CT

At the inferior aspect of the aortic arch, in the region of the ductus arteriosus, there is a small wall irregularity consistent with an intimal flap. Small volume of adjacent hyperdensity, suspicious for haematoma.

Annotated image

Red arrow highlights position of the intimal flap at the inferior aspect of the aortic arch. 

Case Discussion

On follow-up imaging two months later (not shown), a small pseudoaneurysm had formed at the site of the intimal flap. The initial imaging is consistent with a minimal aortic injury. 

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Case information

rID: 55855
Case created: 27th Sep 2017
Last edited: 27th Sep 2017
Systems: Vascular, Chest, Trauma
Inclusion in quiz mode: Included

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