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Figure 9c.  Traumatic aortic rupture after an automobile accident. (a) DSA image shows enlargement of the aortic lumen distal to the LSA origin (arrows). A traumatic aortic rupture was suspected. (b) CT scan shows enlargement of the mediastinum (M), hemothorax (HT), and irregularity of the aortic contour. (c) DSA image obtained after stent-graft deployment shows exclusion of the aortic rupture. (d) CT scan obtained at 6-month follow-up shows the stent-graft covering the origin of the descending aorta. The mediastinum is normal, and the pleural effusion has disappeared.