Optimal Management of Traumatic Aortic Injury

Axial CT images of an aortic isthmic rupture with aortic wall discontinuity, periaortic mediastinal hematoma (§) and pleural effusion (∗) with associated lung atelectasia.

Multidetector CT images (A, B, D, E) and angiographic images (C, F) of a large chronic post-traumatic pseudo-aneurysm before (A–C) and after (D–F) endovascular treatment: the aneurysm (arrows) is partially thrombosed immediately after procedure (§) and fully sealed on CT scan at patient discharge (∗).

Multidetector CT images of an acute traumatic aortic injury before (A–C) and after (D–F) endovascular treatment: a circumferential aortic injury could be easily detected (arrows), together with periaortic mediastinal hematoma (§) and pleural effusion (∗). The lesion is very close to the left subclavian artery. After endovascular treatment, the lesion is completely resolved as well as pleural effusion and mediastinic hematoma. The left subclavian artery is open.