Sir,—Those who manage patients with possible cardiac and aortic injury may well be encouraged to consider relying on investigation by means of transoesophageal echocardiography in the light of the recent editorial by Treasure.1However, Banning and Pillai2 were right to conclude that no single imaging technique is ideal for the investigation of possible aortic injury in survivors of major trauma. Disruption of major branches of the aorta, single or multiple, and not …