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Bilateral coronary dissection after blunt thoracic trauma: a case report
Yibing Shao1, Wei Xia, Chunquan Zhang
1Department of Cardiology, Qingdao Municipal Hospital, Shandong, China.
Abstract:
We describe a case of a 43-year-old male who had blunt chest trauma in a previous traffic accident. He presented shortness of breath and palpitation on mild exertion 1 month later. Echocardiography showed dilated left atrium and ventricular with reduced left ventricular ejection fraction. Coronary angiography revealed a dissection of the left anterior descending coronary artery with impaired blood flow and diffuse dissection from proximal to mid right coronary artery. To our knowledge, this is the first case presenting cardiac insufficiency secondary to bilateral coronary artery dissection after blunt trauma.
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