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Review Article
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Volume 336:626-632 February 27, 1997 Number 9
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Blunt Trauma to the Heart and Great Vessels
René Prêtre, M.D., and Michael Chilcott, M.D.

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With the increase in the number of high-speed motor vehicle accidents, blunt trauma has become a major health problem. Improvements in the techniques of transporting injured patients and in the care given outside the hospital have increased the number of patients with severe injuries who reach the emergency room alive. Nevertheless, chest injuries are the cause of many deaths.1,2,3 Injury to the heart is involved in 20 percent of road-traffic deaths, and the thoracic aorta or arch vessels in 15 percent.4,5,6,7 In clinical series of patients with blunt trauma to the chest, the rate of cardiac injury varies widely, depending . . . [Full Text of this Article]

Cardiac Trauma

Mechanisms and Types of Injury

Natural History

Diagnosis

Assessment and Management

Thoracic-Aorta and Arch-Vessel Trauma

Mechanisms and Types of Injury

Natural History

Diagnosis

Assessment and Management


Source Information

From the Département de Chirurgie, Hôpitaux Universitaires de Genève, Geneva, Switzerland.

Address reprint requests to Dr. Prêtre at Cardiovascular Surgery, University Hospital, Ramistrasse 100, 8091 Zurich, Switzerland.

References


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