• A Daghfous, M Daiki, R Ben Khélifa El Moncer, M Maarouf, S Felah, A Zoghlami, and L Rezgui-Marhoul.
• Service d'imagerie médicale, centre de traumatologie et des grands brûlés, Ben-Arous, Tunis, Tunisie. Electronic address: alifa_daghfous@yahoo.fr.
• Ann Cardiol Angeiol (Paris). 2014 Feb 1; 63 (1): 51-4.

PurposeTraumatic thoracic aortic rupture are commonly localised in one site essentially in the aortic isthmus but multiple localisation are not uncommon. The authors reported the case of a young man who had a double localisation of RTA after a violent car accident.Case ReportA 23-year-old man had a violent car crush involving sudden deceleration. He had multiple injuries essentially: a traumatic thoracic injury with acute posttraumatic aortic rupture in double localization, in the isthmus and in the descending thoracic aorta. He underwent thoracic endovascular aortic repair (TEVAR) with the use of stent graft three weeks after his car accident. The endovascular treatment was successful and no case of perigraft leakage has been detected during a meaning follow-up of five months.ConclusionThe systematic analysis of the whole thoracic aortic vessel is crucial to not misdiagnose eventual multiple aortic rupture.Copyright © 2012. Published by Elsevier SAS.

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