Cor Vasa 2011, 53(12):737-739 | DOI: 10.33678/cor.2011.182
Traumatic dissection of LAD artery as a cause of large myocardial ischemia
- Kardiologické oddělení, Komplexní kardiovaskulární centrum FN a LF v Plzni, Plzeň, Česká republika
Blunt chest trauma is an important cause of morbidity and mortality in developed countries. It may cause injury of chest wall or intrathoracic organs, for example, contusion of heart. Coronary artery dissection is a rare complication. Case of 64-year-old man without history of coronary artery disease who suffered large myocardial infarction with severe left ventricular dysfunction as a result of dissection of left anterior descending artery during traffic accident is described in our case report. The article refers to need of at least internal examination with a registration of ECG, eventually cardiological assessment with transthoracal echocardiography in patients in whom the mechanism of the accident raise suspicion of blunt chest trauma.
Keywords: Blunt chest trauma; Coronary artery dissection; Myocardial infarction
Published: December 1, 2011 Show citation
References
- Center for Disease Control and Prevention. Accidents/Unintentional Injuries. CDC Web site. Accessed October 23, 2008.
- Kulshretsha P, Munshi I, Wait R. Profile of chest trauma in level I trauma center. J Trauma 2004;57:576-581.
Go to original source... 
Go to PubMed... - Wanek S, Mayberry JC. Blunt thoracic trauma: flail chest, pulmonary contusion and blast injury. Crit Care Clin 2004;20:71-81. Go to original source... Go to PubMed...
- Schultz JM, Trunkey DD. Blunt cardiac injury. Crit Care Clin 2004;20:57-70. Go to original source... Go to PubMed...
- Wiersma UF. Chest injuries. In: Bersten AD, Soni N (eds). Oh's Intensive Care Manual. 6th ed. Butterworth: Heineman, Elsevier, 2009:795-796.
- Harada H, Honma Y, Hachiro Y. Traumatic coronary artery dissection. Ann Thorac Surg 2002;74:236-237. Go to original source...
- Stone DL, Fleming HA. Aneurysm of left ventricle and left coronary artery after non-penetrating chest trauma. Br Heart J 1983;50:495-497. Go to original source... Go to PubMed...
- Klüppel D, Bödeker K. Traumatic coronary artery dissection after blunt thoracic trauma - a case report. Unfallchirurg 2002;105:387-391. Go to original source...
- Bjørnstadt JL, Pillgram-Larsen J, Tønnesen T. Coronary artery dissection and acute myocardial infarction following blunt chest trauma. Worl J Em Surg 2009;4:14-18. Go to original source... Go to PubMed...