Blunt Trauma of the Thoracic-Abdominal Aorta: A Rare Case of Double Focal Rupture

Abstract

Background: acute trauma of the aorta by blunt trauma in a high-energy mechanism is rare, and constitutes a cause of death not negligible, their diagnosis must use different radiological means to properly characterize the localization of injuries that may be multiple in a rare case. The progress of interventional radiology has made it possible to start endovascular minima therapies that have contributed to improve the prognosis of patients. Case Presentation: A man, aged 64-year-old, victim of a high kinetic public road accident following a collision between motorcyclist and car causing to him a polytrauma with cranial and thoracic blunt impact. A thoraco-abdominal computed tomography was performed showing an appearance compatible with a rupture of the aortic isthmus with dissection of the thoraco-abdominal aorta type B of Standford. The flap intimal extends from the descending aorta to the end of the abdominal aorta. Conclusions: Post traumatic rupture of the aorta in double localization are rare and should not be ignored in view of their severity and must be researched.