Document Detail

Acute myocardial infarction due to left anterior descending coronary artery dissection after blunt chest trauma.
MedLine Citation:
PMID:  19214607     Owner:  NLM     Status:  MEDLINE    
Cardiac complications of chest trauma range from arrhythmias to valvular avulsions to myocardial contusion, rupture, and rarely myocardial infarction. We describe a case of a young patient with blunt chest trauma after a motor vehicle accident in whom the diagnosis of myocardial infarction was established a week later because no electrocardiogram or cardiac biomarkers were obtained on presentation. Retrospective review of contrast-enhanced computed tomography (CT) of the chest done on presentation demonstrated a perfusion defect in the distribution of the left anterior descending artery (LAD). Subsequent coronary angiography demonstrated dissection in the proximal LAD. Our case illustrates the importance of electrocardiography and contrast-enhanced chest CT in initial evaluation of patients with blunt chest trauma and suspected injury to the coronary arteries.
Gerard Oghlakian; Pierre Maldjian; Edo Kaluski; Muhamed Saric
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-02-13
Journal Detail:
Title:  Emergency radiology     Volume:  17     ISSN:  1438-1435     ISO Abbreviation:  Emerg Radiol     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-04     Completed Date:  2010-04-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431227     Medline TA:  Emerg Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  149-51     Citation Subset:  IM    
Department of Medicine, New Jersey Medical School, Newark, NJ, USA.
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MeSH Terms
Accidents, Traffic*
Contrast Media*
Echocardiography / methods
Emergency Medicine
Myocardial Infarction / etiology*,  ultrasonography
Thoracic Injuries / complications*,  ultrasonography
Wounds, Nonpenetrating / complications*,  ultrasonography
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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