Strategy of treatment in a patient with acute blunt traumatic thoracic aorta dissection

Methods A 37-year-old female suffered from a road traffic accident while out of the car. Her mental status was clear. She had no history of hypertension and diabetes. On admission her vital signs were stable. Systolic blood pressure was 110 mmHg. Neurological examination was normal. Upper and lower extremity pulses were palpable with hand. Right upper extremity radiography showed fracture in radial and ulnar bones. An ECG showed sinus rhythm, and did not suggest acute ischemia. Initial 2-dimensional echocardiography showed no regional wal motion abnormality and pericardial effusion. Ct angiogram (CTA) showed traumatic aortic dissection in proximal descending thoracic aorta with left pleural effusion.