Trauma represents the leading cause of death in young adults, and traumatic lesions to the heart and great vessels carry an extremely high mortality, which is partially due to a delayed recognition and treatment of life-threatening conditions. In the present chapter, we describe the pathophysiology and presentation of the most common traumatic lesions to the heart and great intrathoracic vessels and underline the paramount role of transesophageal echocardiography both in the diagnostic and in the operative phases of chest trauma management. Particular emphasis should be placed on the importance of echocardiography in the immediate evaluation of unstable trauma patient, to rule in or out an intrathoracic cause for the patient's instability.
Sangalli, F., Calcinati, S., Galbiati, L., Fumagalli, R. (2019). Chest trauma: Echocardiography in cardiovascular thoracic injuries. In A. Sarti, Lorini, (a cura di), Textbook of Echocardiography for Intensivists and Emergency Physicians (pp. 375-385). Springer International Publishing [10.1007/978-3-319-99891-6_38].
Chest trauma: Echocardiography in cardiovascular thoracic injuries
Fumagalli R.
2019
Abstract
Trauma represents the leading cause of death in young adults, and traumatic lesions to the heart and great vessels carry an extremely high mortality, which is partially due to a delayed recognition and treatment of life-threatening conditions. In the present chapter, we describe the pathophysiology and presentation of the most common traumatic lesions to the heart and great intrathoracic vessels and underline the paramount role of transesophageal echocardiography both in the diagnostic and in the operative phases of chest trauma management. Particular emphasis should be placed on the importance of echocardiography in the immediate evaluation of unstable trauma patient, to rule in or out an intrathoracic cause for the patient's instability.
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