CTICasesTraumatic Aortic Root Pseudoaneurysm with Contained Rupture and Hemopericardium
Imaging findings
CT reveals a defect in the aorta near the root, superior to the sinotubular junction, initially subtle but progressing in size. An accompanying trauma study demonstrated high-density blood within the pericardium.
Key takeaways
This is a rare and impressive case of a patient surviving a traumatic aortic root injury, typically fatal at the scene. The presence of hemopericardium was a crucial clue, confirming a contained rupture and pseudoaneurysm that was subsequently repaired surgically. It underscores the importance of close scrutiny for subtle aortic injuries in severe trauma, even in locations less commonly associated with survival.
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