Figure 1
From: Venoarterial extracorporeal life support in post-traumatic shock and cardiac arrest: lessons learned
Special computed tomographic images. Blunt chest trauma: Hemothorax from a lacerated right atrium accompanied with a ruptured pericardium (Case 3). A. A massive right-sided hemothorax accompanied with a hemopericardium. The right auricle is surrounded by thrombus without extravasations of the contrast media into the right hemithorax (arrow). B. The coexistence of a right-sided pneumothorax (arrowhead) and a pneumopericardium (arrow) indicates a right-sided pericardial disruption in this case. Injuries in a victim of high-voltage electrocution (Case 5): C. An open pneumothorax with a defect of the right chest wall (arrowhead). Pulmonary consolidations (*) and pneumomediastinum (arrow) are also presented. D. The “shock bowel” appearance. An ECLS cannula is in the inferior vena cava (arrow). Blunt chest trauma: A flail chest from injuries of the sternoclavicular articulation (Case 8). E. A comminuted fracture in the proximal segment of the right clavicle (arrow). Significant soft tissue damages with a retrosternal hematoma (*) is presented. F. A displaced fracture of the manubrium. The cardiac displacement and significant subcutaneous emphysema here are caused by a right-sided tension pneumothorax identified in other views (arrow).