Document Detail

Long-term follow-up of coronary artery dissection due to blunt chest trauma with spontaneous healing in a young woman.
MedLine Citation:
PMID:  8796399     Owner:  NLM     Status:  MEDLINE    
We report a previously healthy 17-year-old woman who experienced coronary artery dissection with an acute transmural anterior myocardial infarction and myocardial contusion following blunt chest trauma in a motorcycle accident. A chest roentgenogram on admission was normal, and an electrocardiogram showed an acute transmural anterior myocardial infarction with complete right-bundle-branch block. A 2D echocardiogram revealed an akinesis of the anterior wall and a hypokinesis of the posterior wall in the left ventricle. Initial coronary angiography demonstrated severe stenosis with delayed antegrade filling in the proximal left anterior descending artery. Technetium-99m pyrophosphate myocardia scintigraphy demonstrated diffuse tracer uptake in the left ventricular wall. Follow-up coronary angiography performed 1 year after the accident showed a minor stenosis without any filling defects. We describe long-term follow-up of the coronary artery dissection following blunt chest trauma with spontaneous healing.
T Masuda; H Akiyama; T Kurosawa; T Ohwada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Intensive care medicine     Volume:  22     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  1996 May 
Date Detail:
Created Date:  1996-11-19     Completed Date:  1996-11-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  450-2     Citation Subset:  IM    
Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Kanagawa, Japan.
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MeSH Terms
Aneurysm, Dissecting / diagnosis,  etiology*
Coronary Aneurysm / diagnosis,  etiology*
Coronary Angiography
Follow-Up Studies
Heart Injuries / complications*
Myocardial Infarction / diagnosis,  etiology*
Radiopharmaceuticals / diagnostic use
Remission, Spontaneous
Technetium Tc 99m Pyrophosphate / diagnostic use
Wounds, Nonpenetrating / complications*
Reg. No./Substance:
0/Radiopharmaceuticals; 0/Technetium Tc 99m Pyrophosphate

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

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