EC Cardiology

Traumatic rupture of the aortic isthmus represents one of the most severe vascular injuries following blunt chest trauma. Rapid recognition through imaging is vital for survival. We report the case of a 23-year-old man who sustained a road traffic accident and was found to have a double aortic injury - a grade I intimal tear at the isthmus and a grade IV rupture of the descending thoracic aorta - associated with contrast extravasation and hemomediastinum on CT angiography. This case illustrates the pivotal role of CT imaging in early diagnosis, classification, and management of traumatic aortic lesions.

 Keywords: Traumatic Aortic Injury; Aortic Rupture; Isthmus; Hemomediastinum; CT Angiography; Blunt Trauma

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