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    
Abstract/OtherAbstract:
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.
Authors:
T Masuda; H Akiyama; T Kurosawa; T Ohwada
Related Documents :
11376829 - A chest pain score for stratifying the risk of coronary artery disease in patients havi...
6935549 - Symptom-limited maximal treadmill testing after myocardial infarction.
11604379 - Impact of community-based education on health care evaluation in patients with acute ch...
15626279 - A case of transient left ventricular apical ballooning. a condition simulating an acute...
3511799 - Use of cardiac enzymes in the evaluation of acute chest pain.
7721509 - Acute myocardial infarction in a young man after heat exhaustion.
2428389 - Effects of haemodilution with fluorocarbons or dextran on oxygen tensions in the acutel...
7952889 - Loss of preconditioning in rabbits with vascular tolerance to nitroglycerin.
11548889 - Local implantation of autologous bone marrow cells for therapeutic angiogenesis in pati...
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    
Affiliation:
Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Kanagawa, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Aneurysm, Dissecting / diagnosis,  etiology*
Coronary Aneurysm / diagnosis,  etiology*
Coronary Angiography
Echocardiography
Electrocardiography
Female
Follow-Up Studies
Heart Injuries / complications*
Humans
Myocardial Infarction / diagnosis,  etiology*
Radiopharmaceuticals / diagnostic use
Remission, Spontaneous
Technetium Tc 99m Pyrophosphate / diagnostic use
Wounds, Nonpenetrating / complications*
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals; 0/Technetium Tc 99m Pyrophosphate

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


Previous Document:  Bilateral massive adrenal haemorrhage complicating anaphylactic shock: a case report.
Next Document:  Hyperthermia complicating tricyclic antidepressant overdose.