Chapter 16: Echocardiography in chest trauma

Echocardiography, especially transesophageal echocardiography, is a key component of diagnostic investigations after blunt or penetrating chest trauma.
Knowing the possible mechanisms of injuries to the heart and great vessels is crucial in interpretation of echocardiographic findings.
Echocardiographic signs are often nonspecific and may include regional (noncoronary) distribution patterns of right and/or left ventricular dysfunction, increased myocardial wall echogenicity and thickness, signs of myocardial rupture in various locations, (with or without cardiac tamponade or pseudoaneurysm formation), acute valve regurgitation, and signs of acute aortic syndrome.
This is an area of echocardiography that should be undertaken by the most experienced operators available.

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