Document Detail

Lethal myocardial infarction subsequent to compression of the left anterior descending coronary artery induced by traumatic hematoma.
MedLine Citation:
PMID:  1520636     Owner:  NLM     Status:  MEDLINE    
Post-traumatic myocardial infarction is a well-known although rare complication of blunt chest traumas. In cases of proximally located damage to the coronary arteries, modern vascular surgery such as bypass operations may be lifesaving. In this paper we describe a case, where a healthy 35-year-old man developed a lethal myocardial infarction 8 days after a chest trauma caused by a moped. The ECG obtained 4 h after the accident showed extensive transmural ischemia of the anterior wall. At autopsy a hematoma originating from a side branch was found to compress the left anterior descending coronary artery immediately distal to its origin from the main stem. This finding suggests that bypass surgery could have saved the life of this young man. Patients with evidence of myocardial ischemia following chest traumas should be transferred to a cardiac center as early as possible.
S Jensen; I B Kristensen; B O Kristensen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of legal medicine     Volume:  105     ISSN:  0937-9827     ISO Abbreviation:  Int. J. Legal Med.     Publication Date:  1992  
Date Detail:
Created Date:  1992-10-15     Completed Date:  1992-10-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9101456     Medline TA:  Int J Legal Med     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  121-2     Citation Subset:  IM    
Institute of Forensic Medicine, University of Aarhus, Denmark.
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MeSH Terms
Accidents, Traffic
Heart Diseases / etiology*,  pathology
Heart Rupture, Post-Infarction / etiology
Hematoma / etiology*,  pathology
Myocardial Infarction / diagnosis,  etiology*,  ultrasonography
Thoracic Injuries / complications*
Wounds, Nonpenetrating / complications*

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