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✅The innominate artery is the most commonly injured branch vessel. Mechanisms of injury have been attributed to shearing and compressive forces occurring near the junction of the aorta and the branch vessel.
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✅If pericardial rupture is large enough, then herniation may occur. Herniation with pericardial rupture is highly lethal leading to strangulation from torsion of the SVC and/or great vessels.
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✅Hemopericardium is the most common imaging sign in patients with cardiac laceration. Any pericardial fluid present, must be assumed hemorrhagic unless proven otherwise.
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✅Myocardial contusions are common in blunt cardiac injury and may be present in 24% of patients with blunt trauma. Although CT is not a first-line modality, the radiologist must recognize direct and indirect signs.
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🚨Cardiac and thoracic vascular injuries are serious and life-threatening conditions in trauma. Let's go through this bite-sized preview to learn more.
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