Nonaortic mediastinal injuries from blunt chest trauma

Loren Ketai, Mary Margaret Brandt, Carol Schermer

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

In addition to traumatic aortic injuries (TAI), blunt chest trauma may damage other structures in the mediastinum, including the tracheobronchial tree, the heart and pericardium, and rarely the esophagus. Tracheobronchial injuries may be difficult to separate radiographically from accompanying parenchymal lung injuries. Experience with diagnosis by computed tomography (CT) is still limited. Cardiac injuries often require emergent surgery before extensive imaging can be done. Some patients, usually those with chamber ruptures of the right heart, survive long enough to receive a chest CT, at which time hemopericardium can be detected. Upper esophageal injuries may occur in conjunction with lower cervical or upper thoracic spine injures. Distal esophageal injuries are rarely caused by blunt trauma.

Original languageEnglish (US)
Pages (from-to)120-127
Number of pages8
JournalJournal of Thoracic Imaging
Volume15
Issue number2
DOIs
StatePublished - Apr 2000
Externally publishedYes

Fingerprint

Thoracic Injuries
Nonpenetrating Wounds
Wounds and Injuries
Thorax
Tomography
Heart Rupture
Pericardial Effusion
Pericardium
Mediastinum
Lung Injury
Esophagus
Spine

Keywords

  • Mediastinal diseases/radiography
  • Thoracic injuries/radiography
  • Wounds, nonpenetrating/complications
  • Wounds, nonpenetrating/radiography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Pulmonary and Respiratory Medicine
  • Radiological and Ultrasound Technology

Cite this

Nonaortic mediastinal injuries from blunt chest trauma. / Ketai, Loren; Brandt, Mary Margaret; Schermer, Carol.

In: Journal of Thoracic Imaging, Vol. 15, No. 2, 04.2000, p. 120-127.

Research output: Contribution to journalArticle

Ketai, Loren ; Brandt, Mary Margaret ; Schermer, Carol. / Nonaortic mediastinal injuries from blunt chest trauma. In: Journal of Thoracic Imaging. 2000 ; Vol. 15, No. 2. pp. 120-127.
@article{7604d40557ed488ea58f419a3b4ac876,
title = "Nonaortic mediastinal injuries from blunt chest trauma",
abstract = "In addition to traumatic aortic injuries (TAI), blunt chest trauma may damage other structures in the mediastinum, including the tracheobronchial tree, the heart and pericardium, and rarely the esophagus. Tracheobronchial injuries may be difficult to separate radiographically from accompanying parenchymal lung injuries. Experience with diagnosis by computed tomography (CT) is still limited. Cardiac injuries often require emergent surgery before extensive imaging can be done. Some patients, usually those with chamber ruptures of the right heart, survive long enough to receive a chest CT, at which time hemopericardium can be detected. Upper esophageal injuries may occur in conjunction with lower cervical or upper thoracic spine injures. Distal esophageal injuries are rarely caused by blunt trauma.",
keywords = "Mediastinal diseases/radiography, Thoracic injuries/radiography, Wounds, nonpenetrating/complications, Wounds, nonpenetrating/radiography",
author = "Loren Ketai and Brandt, {Mary Margaret} and Carol Schermer",
year = "2000",
month = "4",
doi = "10.1097/00005382-200004000-00007",
language = "English (US)",
volume = "15",
pages = "120--127",
journal = "Journal of Thoracic Imaging",
issn = "0883-5993",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Nonaortic mediastinal injuries from blunt chest trauma

AU - Ketai, Loren

AU - Brandt, Mary Margaret

AU - Schermer, Carol

PY - 2000/4

Y1 - 2000/4

N2 - In addition to traumatic aortic injuries (TAI), blunt chest trauma may damage other structures in the mediastinum, including the tracheobronchial tree, the heart and pericardium, and rarely the esophagus. Tracheobronchial injuries may be difficult to separate radiographically from accompanying parenchymal lung injuries. Experience with diagnosis by computed tomography (CT) is still limited. Cardiac injuries often require emergent surgery before extensive imaging can be done. Some patients, usually those with chamber ruptures of the right heart, survive long enough to receive a chest CT, at which time hemopericardium can be detected. Upper esophageal injuries may occur in conjunction with lower cervical or upper thoracic spine injures. Distal esophageal injuries are rarely caused by blunt trauma.

AB - In addition to traumatic aortic injuries (TAI), blunt chest trauma may damage other structures in the mediastinum, including the tracheobronchial tree, the heart and pericardium, and rarely the esophagus. Tracheobronchial injuries may be difficult to separate radiographically from accompanying parenchymal lung injuries. Experience with diagnosis by computed tomography (CT) is still limited. Cardiac injuries often require emergent surgery before extensive imaging can be done. Some patients, usually those with chamber ruptures of the right heart, survive long enough to receive a chest CT, at which time hemopericardium can be detected. Upper esophageal injuries may occur in conjunction with lower cervical or upper thoracic spine injures. Distal esophageal injuries are rarely caused by blunt trauma.

KW - Mediastinal diseases/radiography

KW - Thoracic injuries/radiography

KW - Wounds, nonpenetrating/complications

KW - Wounds, nonpenetrating/radiography

UR - http://www.scopus.com/inward/record.url?scp=0034008044&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034008044&partnerID=8YFLogxK

U2 - 10.1097/00005382-200004000-00007

DO - 10.1097/00005382-200004000-00007

M3 - Article

C2 - 10798631

AN - SCOPUS:0034008044

VL - 15

SP - 120

EP - 127

JO - Journal of Thoracic Imaging

JF - Journal of Thoracic Imaging

SN - 0883-5993

IS - 2

ER -