CTICasesTraumatic Multi-Focal Aortic Injury
Imaging findings
CT angiogram shows an acute pseudoaneurysm of the ascending aorta and a deceleration-related intimal flap at the aortic isthmus, associated with multiple small distal intimal tears in the descending thoracic aorta.
Key takeaways
High-velocity deceleration trauma can cause multi-focal aortic injuries, including ascending aortic tears and classic isthmic lacerations, which can be identified on thin-slice CT scans.
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