Presentation
Motor vehicle accident with positive head strike and anticoagulation. Patient complaining of severe chest pain and diaphoresis.
Patient Data
Contained perforation of the aortic arch posterior to the origin of the left subclavian artery. There is a large mediastinal collection of blood that results in lateral displacement of the esophagus and trachea to the right.
The left vertebral artery is not visualized.
Focal dissection with a displaced intimal flap along the right lateral aspect of the distal descending thoracic aorta without a periaortic hematoma.
Intraparenchymal hematoma within hepatic segment 4A.
Minimally displaced fractures of the bilateral ribs 4-7.
Case Discussion
This is a case of an aortic transection with pseudoaneurysm formation following a motor vehicle accident. The patient was emergently brought to the operating room by vascular surgery. He underwent placement of an endograft in the aortic arch. There were no post-operative complications.
Co-author:
Karan Patel, DO
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