Traffic accidents are a very important leading cause of death in young adults in our country and the most cause of non penetrating cardiac trauma. Cardiac contusions represent the most common form of non penetrating cardiac trauma but a wide spectrum of cardiac injury ranging from, cardiac valve is not usually foremost in the minds of physicians dealing with acutely injured patients because initial screening is usually focused on others classic and common injuries. There is actually no controversies surrounding the fact that tnsoesophageal echocardiography is becoming the corner stone and the most useful modality of the evaluation of severe chest trauma with suspicion of cardiac injury. This paper describe the most important blunt cardiac injuries and emphasizes indirectly the need for early diagnosis that becomes an easy one, if the physician keeps in mind such a possibility in all traumatised patients. Another concern is to point out the importance of appropriate therapeutic approach that may significantly improve outcomes in patients with blunt cardiac trauma.