Abstract
Rupture of the abdominal aorta is common, accounting for 4500 deaths per year in the United Kingdom. The vast majority of these are secondary to an abdominal aortic aneurysm (AAA); other reasons include dissection, trauma, arteritis and iatrogenic causes. Eighteen cases of spontaneous rupture of the thoracic aorta have been described in the English literature since 1961, with the majority related to atherosclerosis or cystic medial necrosis. Spontaneous rupture in the non-aneurysmal abdominal aorta has not previously been reported.
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