PMID: 8601861Mar 1, 1996Paper

Routine transesophageal echocardiography for the diagnosis of aortic disruption in trauma patients without enlarged mediastinum

The Journal of Trauma
P VignonR M Lang

Abstract

To assess the value of routine transesophageal echocardiography (TEE) in diagnosing traumatic disruption of the aorta (TDA) in trauma patients presenting without enlarged mediastinum on chest x-ray films. Prospective study. TEE was routinely performed to exclude the presence of TDA in patients who sustained severe trauma secondary to abrupt deceleration collisions and presented with an upper mediastinum of fewer than 8 cm on supine chest x-ray films. Patients were divided into two groups according to the presence (group I) or absence (group II) of mediastinal hematoma diagnosed during TEE examination. Radiographic signs regarded as indicators of the presence of TDA were evaluated in both groups. Among the 40 consecutive patients studied, TEE demonstrated two cases of TDA associated with a mediastinal hematoma that were confirmed by both aortography and surgery. One of the patients had a normal mediastinum on presentation chest x-ray films, and the other only exhibited a blurred aortic knob. Radiographic mediastinal abnormalities suggestive of TDA were observed in 13 patients, but chest x-ray films were unremarkable in 12 patients. Twenty patients had multiple rib fractures. The frequency of chest radiographic abnormalities was ...Continue Reading

References

Mar 1, 1977·The Journal of Trauma·R J AyellaR A Cowley
Apr 1, 1976·The Annals of Thoracic Surgery·D G Marsh, J T Sturm
Jun 1, 1992·The Journal of Trauma·S W BrooksD L Diamond
Jan 1, 1988·The Journal of Trauma·W S CopesL W Bain
Aug 1, 1987·Journal of Vascular Surgery·H B KramW C Shoemaker
Apr 1, 1983·Radiology·T C Barcia, J P Livoni
Dec 1, 1983·AJR. American Journal of Roentgenology·D M SefczekZ L Deeb
Oct 1, 1983·Annals of Emergency Medicine·J T SturmJ J Cicero
Aug 1, 1982·The Journal of Trauma·S R GundryJ R Mackenzie
Feb 9, 1995·The New England Journal of Medicine·M D SmithP A Kearney
Sep 1, 1993·The Journal of Trauma·Y Ben-Menachem
May 1, 1993·The Journal of Trauma·P A KearneyP M Sapin

❮ Previous
Next ❯

Citations

Nov 11, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·H Hirose
Sep 7, 2006·Der Unfallchirurg·C Waydhas, D Nast-Kolb
Sep 1, 1996·The Annals of Thoracic Surgery·G D TrachiotisF M Midgley
Jul 2, 2002·Injury·E Degiannis, K Boffard
Jan 8, 2000·The Surgical Clinics of North America·D V Feliciano, G S Rozycki
Nov 14, 2001·The Journal of Trauma·B J Simon, C Leslie
Aug 19, 2007·Critical Care Medicine·Ahmed KhalilDavid T Porembka
Feb 15, 2001·Echocardiography·Philip Vignon, Roberto M. Lang
Aug 9, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Wolfram SchützJohannes Görich
Sep 22, 2005·Echocardiography·Edmund Kenneth KerutFrederick Helmcke
Oct 18, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·O NzewiV Zamvar
May 6, 2008·Air Medical Journal·Leanne R Pérez, Garrett K Chan
Jul 27, 2007·Thoracic Surgery Clinics·William T BrinkmanJoseph E Bavaria
Apr 2, 1999·Emergency Medicine Clinics of North America·M D Greenberg, C L Rosen
Feb 10, 1999·Anesthesiology·A M Ho, E Ling

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.