You are conducting an autopsy on a patient and you find the so-called ladder tears near the main lesion on a major blood vessel. What is the most likely cause of the injury and subsequent death of the person?

The aoa may rupture as a result of sudden deceleration as in A. The aoic rupture is circular and clean cut and appears as if it was cut by a sharp knife. Sometimes multiple transverse internal tears adjacent to the main rupture is seen and these are called ladder tears. Ref: Textbook of Forensic Medicine by Narayana Reddy, Edition 20, Page 237