In this study, 8-fold pseudo spiral compressed sensing (CS) accelerated aortic 4D flow MRI was compared with 8-fold k-t principal component analysis (k-t PCA) acceleration. Scan times were approximately 7 minutes at 50% respiratory navigator efficiency. Image quality of the peak systolic phase contrast magnitude images was scored slightly higher for CS than for k-t PCA and time-resolved velocity pathline trajectories were similar. Quantitative hemodynamic differences in velocity and wall shear stress were found but these were small and can be attributed to a combination of acquisition strategy and physiological variation. CS can be used to accelerate 4D flow MRI.