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Traumatic Stanford Type B Aortic Dissection

Imaging findings

CT angiogram shows a Stanford Type B aortic dissection starting at the isthmus and extending all the way into the abdominal aorta, complicating blunt deceleration trauma (bicycle struck by a car) with associated rib fractures.

Key takeaways

While blunt aortic injuries typically cause focal lacerations/pseudoaneurysms, they can occasionally present as a classic, long-segment aortic dissection (Type B), particularly in patients with deceleration trauma.

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