Blunt<unk>  mechanism, rapid deceleration
Most common location is isthmus (90%) just distal to the left subclavian artery
Where the ligamentum arteriosum tethers the aorta and pulmonary artery
Other locations are:
Ascending aorta (5%)
Diaphragmatic hiatus (5%)
Often asymptomatic but die without warning (80% die at scene)
Do NOT have Hypotension (just die, but may have initial hypertension in upper extremities)
Need high suspicion to diagnose
Where the ligamentum arteriosum tethers the aorta and pulmonary artery
Other locations are:
Ascending aorta (5%)
Diaphragmatic hiatus (5%)
Ascending aorta (5%)
Diaphragmatic hiatus (5%)
Traumatic aortic transection
Airway/Pulmonary
Pulmonary contusion
Bronchial injury
Cardiac contusion
Diaphragmatic trauma
Traumatic pneumothorax
Hemothorax