Traumatic Disruption of the Thoracic Aorta: Significance of the Left Apical Extrapleural Cap

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Abstract
The plain chest film may be critical in deciding whether a seriously injured patient should undergo aortography in order to exclude traumatic aortic rupture. The roentgen findings suggestive of aortic transection reflect the presence of mediastinal bleeding. A left apical extrapleural cap is frequently seen in these patients but heretofore has not been emphasized in the literature.

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