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[Coronary artery dissection following blunt chest trauma]
Ekim Seven1, Kristoffer Henningsen, Ulrik Abildgaard
1Zeus Boulevard 31, 2650 Hvidovre. ekim_seven@hotmail.com.
Insights
Blunt chest trauma from karate can cause coronary artery dissection, leading to heart attack symptoms. Prompt diagnosis and stenting are crucial for recovery.
Area of Science:
- Cardiology
- Trauma Medicine
- Interventional Cardiology
Background:
- Coronary artery dissection is a rare cause of myocardial infarction, particularly in young, healthy individuals.
- Blunt chest trauma is an uncommon but recognized trigger for spontaneous coronary artery dissection.
- The case highlights the importance of considering non-atherosclerotic causes of acute coronary syndrome.
Abstract:
A previously healthy 38-year-old man was admitted to hospital with chest pain. The day before the patient had been to a karate session and had received multiple punches and kicks to the chest region. An ECG showed Q-waves in V1 and V2 and flattening of the T-waves in V1-V6. Levels of cardiac enzyme markers were elevated. The patient subsequently underwent coronary angiography with supplemental optical coherence tomography that revealed a bifurcate dissection involving the proximal parts of left ramus interventricularis anterior and circumflex coronary artery. Two drug-eluting stents were implanted with good angiographic result.
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