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Blunt thoracic aortic tear and pseudoaneurysm

Blunt thoracic aortic tear and pseudoaneurysm
The chest x-ray (A) demonstrates a widened mediastinum following blunt injury to the chest (arrows). The aortogram in an anteroposterior projection (B) demonstrates a circumferential tear of the isthmus (arrow). A small pseudoaneurysm at the insertion site of the ligamentum arteriosum is noted (arrowhead).
Graphic 88624 Version 1.0