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Aortic isthmus is most injured site
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Aortic Trauma by Jody Shen, MD, Stanford Radiology
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- 1 Blunt Traumatic Aortic Injury for the Radiologist
- 2 Discuss mechanism and patterns of BTAI
- 3 Review BTAI classification and management
- 4 Recognize post-repair normal appearance and
- 5 Mechanism: Frontal impact in MVC
- 6 Typical locations of BTAI
- 7 Aortic isthmus is most injured site
- 8 Signs on chest radiograph
- 9 Terminology: Transection versus dissection
- 10 "Transection" meaning?
- 11 SVS Classification
- 12 Intimal Tear
- 13 Intramural hematoma
- 14 SVS → Harborview Classification
- 15 MAI: Subcentimeter intimo-medial abnormality with no external contour deformity
- 16 43 M trauma transfer after ATV accident
- 17 44 M presents after MCC
- 18 38 F trauma transfer after MVC
- 19 90 F rear-ended a truck at 35 mph
- 20 31 M presents after MVC at 70 mph
- 21 Mimics: Atherosclerosis/floating thrombus
- 22 14 M presents after MVC
- 23 59 F MVC rollover, question aortic injury at OSH
- 24 Pitfall: Ductus bump
- 25 Aortic isthmus types
- 26 Ductus bump versus pseudoaneurysm
- 27 57 F presents after MVC
- 28 66 M trauma
- 29 34 F presents for follow-up after MVC
- 30 50 F trauma transfer after a 50 ft fall
- 31 21 M trauma transfer after MVC
- 32 Expected post-TEVAR findings
- 33 LSA coverage with thrombus
- 34 Bovine arch with CVA after TEVAR
- 35 Remote TEVAR with endograft infection
- 36 Other complications: Endoleak
- 37 Other complications: Stent-graft collapse
- 38 Aorta is most commonly injured at the isthmus
- 39 Morphology of BTAI directs management
- 40 Stanford MEDICINE Radiology