Fig. 12
From: Aortic emergencies—diagnosis and treatment: a pictorial review
Iatrogenic aortic injury. A 36-year-old female patient underwent laparoscopic removal of an ovarian cyst; 6 h later she presented with hypotension and severe abdominal pain. CTA [(a) axial section, arrowhead; (b) coronal reformation; (c) volume-rendered image, arrow] demonstrated a left lateral laceration of the aorta, confirmed to be a trocar injury during vascular surgical reconstruction. A 6-month follow-up CT demonstrates a rather smooth aortic contour at the level of the original injury (d arrowhead). A 66-year-old patient presented with an aneurysm of the coeliac trunk/common hepatic artery (e). During an endovascular approach for stent graft implantation, when the Simmons type II catheter was configured in the aortic arch, the patient reported severe thoracic pain; DSA (f) and CTA [(g–h) on a single slice CT scanner] confirmed the suspicion of a type A aortic dissection with a true lumen (arrowhead) and false lumen (arrows) on unsubtracted angiographic images