Cardiac Trauma in Children

Roddy, Mark G.; Lange, P; Klein, Bruce L.

doi:10.1016/j.cpem.2005.09.010

Cited by 2 publications

(3 citation statements)

References 58 publications

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“…Cardiac injury in children in the setting of trauma is uncommon and typically occurs in the setting of extensive multisystem trauma (67). Reported rates of cardiac injury in blunt trauma range from 4.6% to 7.7% (68,69). Cardiac injury in penetrating trauma is exceedingly rare.…”

Section: Traumatic Conditionsmentioning

confidence: 99%

“…CAVF, laceration, or pseudoaneurysm are more commonly features of penetrating trauma, although they can also be seen in the setting of blunt trauma (74,75). Posttraumatic fistulas most commonly arise from the LAD and terminate in low-pressure chambers such as the atria (69,74). Penetrating coronary arterial injury may also result in hemopericardium, tamponade, and rapid clinical decompensation (69).…”

Section: Traumatic Conditionsmentioning

confidence: 99%

“…Posttraumatic fistulas most commonly arise from the LAD and terminate in low-pressure chambers such as the atria (69,74). Penetrating coronary arterial injury may also result in hemopericardium, tamponade, and rapid clinical decompensation (69). Traumatic fistula can be confirmed at Doppler echocardiography or angiography, which demonstrates a direct connection between the coronary artery and the involved cardiac chamber.…”

Section: Traumatic Conditionsmentioning

confidence: 99%

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Abnormalities of the Coronary Arteries in Children: Looking beyond the Origins

et al. 2017

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Coronary arterial abnormalities are uncommon findings in children that have profound clinical implications. Although anomalies of the coronary origins are well described, there are many other disease processes that affect the coronary arteries. Immune system-mediated diseases (eg, Kawasaki disease, polyarteritis nodosa, and other vasculiditides) can result in coronary arterial aneurysms, strictures, and abnormal tapering of the vessels. Because findings at imaging are an important component of diagnosis in these diseases, the radiologist's understanding of them is essential. Congenital anomalies may present at varying ages, and findings in hemodynamically significant anomalies, such as fistulas, are key for both diagnosis and preoperative planning. Pediatric heart surgery can result in wide-ranging postoperative imaging appearances of the coronary arteries and also predisposes patients to a multitude of complications affecting the heart and coronary arteries. In addition, although rare, accidental trauma can lead to injury of the coronary arteries, and awareness and detection of these conditions are important for diagnosis in the acute setting. Patients with coronary arterial conditions at presentation may range from being asymptomatic to having findings of myocardial infarction. Recognition of the imaging findings is essential to direct appropriate treatment. RSNA, 2017.

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Section: Traumatic Conditionsmentioning

confidence: 99%