Document Detail


Right coronary artery dissection following blunt chest trauma.
MedLine Citation:
PMID:  24062888     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Chest trauma is a major health problem with a high mortality. Myocardial infarction secondary to coronary dissection following blunt chest trauma is a rare entity. We describe the case of an inferior MI following blunt chest trauma. A 61-year-old male without any relevant medical history was transported to a hospital after a low-velocity motorcycle accident. The patient was asymptomatic before the accident. The patient developed severe chest pain and an ECG revealed inferior ST segment elevation. After ruling out aortic dissection with angio-CT, a coronary angiograph depicted a proximal occlusion of the right coronary artery. After thrombectomy, a typical image of coronary artery dissection was observed; the image persisted after several runs of thrombectomy and for that reason a bare metal stent was implanted with a good final angiographic result. Five days after admission the patient was discharged home. Cardiac contusion is not uncommon; however acute myocardial infarction is a rare complication of blunt chest trauma. Thorough evaluation with clinical suspicion can lead to optimal medical care.
Authors:
Ander Regueiro; Luis Alvarez-Contreras; Victoria Martín-Yuste; Gizem Kasa; Manel Sabaté
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European heart journal. Acute cardiovascular care     Volume:  1     ISSN:  2048-8726     ISO Abbreviation:  Eur Heart J Acute Cardiovasc Care     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2013-09-24     Completed Date:  2013-09-24     Revised Date:  2013-10-30    
Medline Journal Info:
Nlm Unique ID:  101591369     Medline TA:  Eur Heart J Acute Cardiovasc Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  50-2     Citation Subset:  -    
Affiliation:
Cardiology Department. Thorax Institute. Hospital Clinic. Barcelona, Spain.
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