Traumatic Aortic Laceration

Traumatic Aortic Laceration

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The patient presented to the emergency room following a high speed motor vehicle accident.

The initial portable CXR demonstrated multiple left sided rib fractures, widening of the mediastinum with loss of the aortic contour, a left apical pleural cap, deviation of the NG tube to the right, and widening of the right paraspinal line.

The patient was taken for emergent arteriogram which demonstrated a focal outpouching of the aorta just beyond the arch confirming a traumatic aortic laceration.

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