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A Rare Case of Traumatic Coronary Artery Dissection After a Motor Vehicle Collision

Mohamed S Elgendy1, Toufik Mahfood Haddad2, Abhilash Akinapelli3

  • 1Internal Medicine, Creighton University School of Medicine, Omaha, USA.

Cureus
|June 13, 2019
PubMed

Insights

Traumatic coronary artery dissection following a motor vehicle collision is rare but life-threatening. Prompt diagnosis and revascularization via coronary angiogram are crucial for patient survival.

Area of Science:

  • Cardiology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Coronary artery dissection is a rare condition with potentially fatal outcomes, including acute coronary syndrome and death.
  • Traumatic coronary artery dissection, often resulting from high-speed motor vehicle collisions, requires urgent medical attention.

Observation:

  • A case report details a patient experiencing right coronary artery dissection after a motor vehicle accident.

Findings:

  • The patient underwent successful management through coronary angiogram and subsequent revascularization.
  • This intervention addressed the coronary occlusion caused by the dissection.

Implications:

  • Early recognition and timely intervention, such as coronary angiogram and revascularization, are vital for improving survival rates in traumatic coronary artery dissection.
  • This case highlights the importance of considering coronary artery dissection in patients with relevant trauma history.

Keywords:
blunt chest traumacardiac injurycoronary artery dissectionmimotor vehicle collision

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