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Left main dissection complicating blunt chest trauma: case report and review of literature

Federico Colombo1, Andrea Zuffi2, Alessandro Lupi3

  • 1Division of Cardiology, S. Biagio Hospital, Domodossola, Italy.

Cardiovascular Revascularization Medicine : Including Molecular Interventions
|May 27, 2014
PubMed

Insights

Blunt chest trauma can cause rare but life-threatening coronary artery dissection, leading to myocardial infarction. Prompt diagnosis and stent implantation are crucial for managing this critical injury.

Area of Science:

  • Cardiology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Blunt chest trauma is an uncommon cause of coronary artery injury.
  • Such injuries can lead to severe myocardial ischemia and acute myocardial infarction.
  • Symptoms may be nonspecific and masked by chest tenderness.

Observation:

  • A 56-year-old male presented with unstable angina days after blunt chest trauma.
  • Coronary angiography revealed left main coronary artery dissection.
  • The dissection was successfully treated with stent implantation.

Findings:

  • Traumatic coronary artery dissection is a rare but critical complication of blunt chest trauma.
  • Clinical presentation and electrocardiographic findings can be misleading.
  • Early diagnosis and intervention are vital for favorable outcomes.

Implications:

  • Highlights the importance of considering coronary artery injury in patients with blunt chest trauma and ischemic symptoms.
  • Emphasizes the need for thorough evaluation, including coronary angiography, when traumatic coronary injury is suspected.
  • Underscores the effectiveness of timely stent implantation in managing left main coronary artery dissection due to trauma.

Keywords:
Acute coronary syndromeChest traumaCoronary dissectionCoronary ruptureUnprotected left main angioplasty

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