Complete Transection of the Aorta

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Abstract
PROMPT RECOGNITION and surgical therapy for patients with traumatic rupture or transection of the thoracic aorta have been emphasized in recent years.1,2It has been stated that 10% to 20% of patients with traumatic aortic rupture survive long enough for surgical intervention, if the diagnosis can be made. In those patients who do not die of immediate exsanguination, a perivascular hematoma usually develops with rupture occurring hours or weeks later. In a few, false aneurysms develop which may remain asymptomatic for indefinite periods. In 1958, a 46-year-old white male was admitted to the Baltimore City Hospitals accident room after an automobile accident. He complained of weakness and chest pain. A labile blood pressure ranging from 110/60 to 80/50 mm Hg was noted. X-ray examination revealed minimal fluid in the left pleural cavity. The patient was finally discharged at his own insistence after many hours of observation. That same day

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