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Chronic Posttraumatic Pseudoaneurysm
Santiago Martínez-Jiménez, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Chronic traumatic aortic injury (CTAI)
            • Late or unsuspected posttraumatic pseudoaneurysm
          • Definitions

            • Traumatic disruption of aortic wall that remains undiagnosed in acute setting
            • Not containing 3 vascular wall layers
            • Contained by adventitia or thrombus and fibrous tissue

          IMAGING

          • General Features

            • Imaging Recommendations

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Angiographic Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Abed H et al: Very late rupture of a post-traumatic abdominal aortic pseudoaneurysm. BMJ Case Rep. 2017, 2017
                                      2. Mesolella M et al: Delayed recurrent nerve paralysis following post-traumatic aortic pseudoaneurysm. Open Med (Wars). 11(1):215-9, 2016
                                      3. Iddriss A et al: Chronic traumatic thoracic aortic aneurysm: 40-year follow-up. J Card Surg. 30(7):586-8, 2015
                                      4. Pozek I et al: Chronic posttraumatic pseudoaneurysm of the thoracic aorta. Curr Probl Diagn Radiol. 41(4):126-7, 2012
                                      5. Marcu CB et al: Unsuspected chronic traumatic aortic pseudoaneurysm--what to do about it. Late post-traumatic aortic pseudoaneurysm. Can J Cardiol. 24(2):143-4, 2008
                                      6. Katsumata T et al: Operation for chronic traumatic aortic aneurysm: when and how? Ann Thorac Surg. 66(3):774-8, 1998
                                      7. Bacharach JM et al: Chronic traumatic thoracic aneurysm: report of two cases with the question of timing for surgical intervention. J Vasc Surg. 17(4):780-3, 1993
                                      8. Heystraten FM et al: Chronic posttraumatic aneurysm of the thoracic aorta: surgically correctable occult threat. AJR Am J Roentgenol. 146(2):303-8, 1986
                                      9. Finkelmeier BA et al: Chronic traumatic thoracic aneurysm. Influence of operative treatment on natural history: an analysis of reported cases, 1950-1980. J Thorac Cardiovasc Surg. 84(2):257-66, 1982
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Synonyms

                                                • Chronic traumatic aortic injury (CTAI)
                                                • Late or unsuspected posttraumatic pseudoaneurysm
                                              • Definitions

                                                • Traumatic disruption of aortic wall that remains undiagnosed in acute setting
                                                • Not containing 3 vascular wall layers
                                                • Contained by adventitia or thrombus and fibrous tissue

                                              IMAGING

                                              • General Features

                                                • Imaging Recommendations

                                                  • Radiographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Angiographic Findings

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Abed H et al: Very late rupture of a post-traumatic abdominal aortic pseudoaneurysm. BMJ Case Rep. 2017, 2017
                                                                          2. Mesolella M et al: Delayed recurrent nerve paralysis following post-traumatic aortic pseudoaneurysm. Open Med (Wars). 11(1):215-9, 2016
                                                                          3. Iddriss A et al: Chronic traumatic thoracic aortic aneurysm: 40-year follow-up. J Card Surg. 30(7):586-8, 2015
                                                                          4. Pozek I et al: Chronic posttraumatic pseudoaneurysm of the thoracic aorta. Curr Probl Diagn Radiol. 41(4):126-7, 2012
                                                                          5. Marcu CB et al: Unsuspected chronic traumatic aortic pseudoaneurysm--what to do about it. Late post-traumatic aortic pseudoaneurysm. Can J Cardiol. 24(2):143-4, 2008
                                                                          6. Katsumata T et al: Operation for chronic traumatic aortic aneurysm: when and how? Ann Thorac Surg. 66(3):774-8, 1998
                                                                          7. Bacharach JM et al: Chronic traumatic thoracic aneurysm: report of two cases with the question of timing for surgical intervention. J Vasc Surg. 17(4):780-3, 1993
                                                                          8. Heystraten FM et al: Chronic posttraumatic aneurysm of the thoracic aorta: surgically correctable occult threat. AJR Am J Roentgenol. 146(2):303-8, 1986
                                                                          9. Finkelmeier BA et al: Chronic traumatic thoracic aneurysm. Influence of operative treatment on natural history: an analysis of reported cases, 1950-1980. J Thorac Cardiovasc Surg. 84(2):257-66, 1982