Operations in the atrioventricular valves in the presence of blunt cardiac trauma (Figs. 30–32)

  • Choi-Keung Ng


Road accidents, sporting injuries and injuries at work are steadily increasing in our mechanized civilization. As the patients usually suffer multiple traumas, a blunt cardiac trauma is frequently overlooked at first and eventually seals the fate of the patient. It is the most common visceral injury associated with a fatal outcome. Blunt thoracic injury should always raise the suspicion of damage to the ribs, sternum, thoracic viscera, or spinal column. Serial ECG and enzyme measurement have been the historic method of diagnosis. These should raise suspicion, but specificity is low, hence echocardiography, transthoracic or transesophageal, is the investigation of choice, providing us a real time window for assessing myocardial injury and function. Echocardiography is inexpensive, rapid, and the procedure can be performed safely at the bedside.


Papillary Muscle Valve Leaflet Road Accident Atrioventricular Valve Blunt Chest Trauma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer-Verlag Wien 2003

Authors and Affiliations

  • Choi-Keung Ng
    • 1
  1. 1.Department of Cardiovascular and Thoracic Surgery, Academic Teaching HospitalGeneral Hospital of the Sisters of Mercy of the Holy CrossWelsAustria

Personalised recommendations