title: The place of angiography in the evaluation of traumatic injuries to the heart and coronary arteries.
abstract: The mechanisms leading to traumatic injuries of the heart and coronary arteries and the typical lesions found are analyzed in light of experience with a total of 21 cases from several centers. The indications for angiography are discussed. Early angiography may be used for the emergency verification of a valvular, coronary, or myocardial rupture after intensive treatment has stabilized the patient's condition; in such situations the relative indications for angiography versus immediate surgery must be determined. Delayed angiography may be used in the more usual situations in which clear, persistent anomalies of a clinical, electric, or radiologic nature are observed.
mesh_terms: D000792:Angiography; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries*; D006335:Heart Injuries / Q000000981:diagnostic imaging*; D006351:Heart Valves / Q000000981:diagnostic imaging / Q000293:injuries; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging*