Traumatic aortic injury

Case contributed by Dr Henry Knipe

Presentation

High speed motor vehicle crash. Intubated with closed head injury.

Patient Data

Age: Unknown
Gender: Male
CT

Traumatic aortic injury with pseudoaneurysm and mediastinal haematoma.

Partial collapse of the left lower lobe. Areas of contusion/aspiration. No pneumothorax. 

Comminuted right scapular fracture. Right third, fourth (anterior and posterior), fifth, six, and seventh rib fractures. Undisplaced transverse fracture through the anterior and posterior cortex of the manubrium. T3 and T4 spinous process fractures.

Case Discussion

Traumatic aortic injuries most commonly (90%) occur at the thoracic aorta isthmus. They have a high mortality. 

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Case information

rID: 39446
Case created: 4th Sep 2015
Last edited: 8th Oct 2017
System: Vascular
Inclusion in quiz mode: Included

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