Chest Trauma

Echocardiography in Cardiovascular Thoracic Injuries
  • Fabio SangalliEmail author
  • Serena Calcinati
  • Lucia Galbiati
  • Roberto Fumagalli


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.


Transesophageal echocardiography Blunt chest trauma Penetrating chest trauma Traumatic aortic injury Blunt cardiac injury Cardiac tamponade Hemorrhagic shock 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Fabio Sangalli
    • 1
    Email author
  • Serena Calcinati
    • 1
  • Lucia Galbiati
    • 1
  • Roberto Fumagalli
    • 2
  1. 1.Department of Anaesthesia and Intensive CareASST Monza – San Gerardo Hospital – University of Milano-BicoccaMonzaItaly
  2. 2.Department of Anaesthesia and Intensive CareASST Grande Ospedale Metropolitano Niguarda Ca’ Granda – University of Milano-BicoccaMilanoItaly

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