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A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
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Coronary Thrombosis without Dissection following Blunt Trauma
Archana Sinha1, Michael Sibel2, Peter Thomas3
1Division of Cardiovascular Disease, Saint Luke's University Health Network, Bethlehem, PA 18015, USA.
Case Reports in Cardiology
|March 24, 2016
Summary
Chest trauma can cause coronary thrombosis and ST-elevation myocardial infarction (STEMI). This case report details blunt trauma leading to coronary thrombosis without dissection or atherosclerosis, as confirmed by intravascular ultrasound (IVUS).
Area of Science:
- Cardiology
- Trauma Surgery
- Medical Imaging
Background:
- Blunt chest trauma can rarely cause coronary thrombosis and ST-elevation myocardial infarction (STEMI).
- Previous cases involving intravascular ultrasound (IVUS) implicated coronary artery dissection as the cause.
- Findings on angiography often mimic spontaneous plaque rupture due to atherosclerosis.
Purpose of the Study:
- To report the first case of blunt trauma-associated coronary thrombosis without underlying atherosclerosis or coronary dissection.
- To document the findings using intravascular ultrasound (IVUS) imaging.
Main Methods:
- Case report presentation.
- Diagnostic coronary angiography.
- Intravascular ultrasound (IVUS) imaging for detailed coronary artery assessment.
Main Results:
- The patient experienced coronary thrombosis and ST-elevation myocardial infarction (STEMI) following blunt chest trauma.
- Coronary angiography showed complete epicardial coronary occlusion with thrombus.
- Intravascular ultrasound (IVUS) imaging revealed no evidence of coronary artery dissection or underlying atherosclerotic disease.
Conclusions:
- Blunt chest trauma can lead to coronary thrombosis and STEMI through mechanisms other than coronary dissection or atherosclerosis.
- IVUS imaging is crucial for accurately diagnosing the etiology of coronary thrombosis in trauma patients.
- This case expands the understanding of rare cardiovascular complications following chest trauma.
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