This TEE transverse view demonstrates a traumatic subadventitial rupture of the aortic isthmus. There is a thick and highly mobile medial flap (arrow) associated with localized deformity of the anterolateral aortic wall (arrowheads) from acute formation of a false aneurysm. The flap is thicker compared with the intimal flap seen with aortic dissection since the entire depth of both the intima and media is involved with aortic rupture.
TEE: transesophageal echocardiography.
Courtesy of P Vignon, MD.
Graphic 63952 Version 4.0
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