{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T18:01:56Z","timestamp":1784484116711,"version":"3.55.0"},"reference-count":10,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,1,7]]},"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>This case highlights the intraoperative use of transoesophageal echocardiography (TOE) in a patient with blunt thoracic trauma presenting with haemodynamic instability. TOE identified tamponade physiology and aortic root laceration, prompting immediate surgical intervention. Isolated aortic root injury after blunt thoracic trauma is rare, and this case demonstrates the utility of intraoperative TOE in identifying this life-threatening pathology and guiding management in trauma care.<\/jats:p>","DOI":"10.1136\/bcr-2025-267861","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T13:56:33Z","timestamp":1770299793000},"page":"e267861","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnosis of aortic root injury using transoesophageal echocardiography after blunt trauma"],"prefix":"10.1136","volume":"19","author":[{"given":"Joshua","family":"Beiler","sequence":"first","affiliation":[{"name":"College of Medicine, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8091-4010","authenticated-orcid":false,"given":"Justin","family":"Walker","sequence":"additional","affiliation":[{"name":"Anesthesiology and Perioperative Medicine, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"key":"2026071910151078000_19.2.e267861.1","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1053\/j.jvca.2022.12.031","article-title":"Rescue Transesophageal Echocardiography: A Narrative Review of Current Knowledge and Practice","volume":"37","author":"Efrimescu","year":"2023","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"2026071910151078000_19.2.e267861.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.11.052"},{"key":"2026071910151078000_19.2.e267861.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0706159"},{"key":"2026071910151078000_19.2.e267861.4","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.ejvs.2021.09.043","article-title":"Blunt Traumatic Aortic Injury Management, a French TraumaBase Analytic Cohort","volume":"63","author":"Boutin","year":"2022","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2026071910151078000_19.2.e267861.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2013.02.015"},{"key":"2026071910151078000_19.2.e267861.6","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1097\/TA.0000000000004642","article-title":"Defining the criterion standard for detecting blunt traumatic aortic injuries: A systematic review and meta-analysis of diagnostic test accuracy","volume":"99","author":"Granieri","year":"2025","journal-title":"J Trauma Acute Care Surg"},{"key":"2026071910151078000_19.2.e267861.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2014.11.015"},{"key":"2026071910151078000_19.2.e267861.8","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1213\/XAA.0000000000000701","article-title":"Blunt Traumatic Injury to the Aortic Root and Aortic Valve","volume":"10","author":"Mazzeffi","year":"2018","journal-title":"A A Pract"},{"key":"2026071910151078000_19.2.e267861.9","doi-asserted-by":"crossref","first-page":"3265","DOI":"10.1053\/j.jvca.2022.02.010","article-title":"Echocardiography and Management for Cardiac Trauma","volume":"36","author":"Latif","year":"2022","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"2026071910151078000_19.2.e267861.10","doi-asserted-by":"crossref","first-page":"E37","DOI":"10.1213\/ANE.0000000000003569","article-title":"Echocardiography and Management for Cardiac Trauma","volume":"129","author":"Staudt","year":"2019","journal-title":"Anesth Analg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-267861","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T17:15:20Z","timestamp":1784481320000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-267861"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":10,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2,5]]},"published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1136\/bcr-2025-267861"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-267861","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]}}}