A retrospective review of the role of transesophageal echocardiography in aortic and cardiac trauma in a level I Pediatric Trauma Center

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
G D PearsonG R Martin

Abstract

This study examined the role of transesophageal echocardiography in blunt aortic and cardiac trauma in a Pediatric Level I Trauma Center. In a > 5-year retrospective review, we identified 10 children with blunt cardiac (n = 4; tricuspid valve in two; mitral valve in one; aortic valve in one) and aortic (n = 6; aortic rupture in five, subintimal flap in one) trauma. Diagnosis of the cardiac injuries was made with transthoracic echocardiography, with transesophageal echocardiography providing additional anatomic detail and postoperative assessment in three of four children who required surgical intervention. Diagnosis of the aortic injuries was made with transesophageal echocardiography in five of six patients; one patient underwent aortography before transfer. Transesophageal echocardiography also identified depressed myocardial function in one child and aided in surgical management of the five aortic ruptures. In blunt chest trauma, transesophageal echocardiography provides accurate evaluation of cardiovascular structure and function and guides operative repair.

References

Oct 1, 1979·Pediatric Radiology·G A GrajoL W Young
Sep 1, 1979·Chest·F J FrickerD B Lerberg
Feb 1, 1991·The Annals of Thoracic Surgery·I F GalvinD A Horton
Apr 1, 1996·The Journal of Pediatrics·B I BrombergR P Foglia
Feb 27, 1997·The New England Journal of Medicine·R Prêtre, M Chilcott

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Citations

Sep 26, 2006·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·S AsbachA Geibel
Mar 8, 2002·Paediatric Anaesthesia·Victor C Baum
May 7, 2004·The Journal of Trauma·Anji T YetmanJonathan J Drummond-Webb
Jul 27, 2001·Anesthesiology Clinics of North America·A K Ross
Mar 17, 2018·World Journal for Pediatric & Congenital Heart Surgery·Konstantinos S MylonasKonstantinos P Economopoulos

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