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Coronary artery dissection secondary to blunt chest trauma
S Kohli1, G M Saperia, C A Waksmonski
1Cardiac Catheterization Unit. St. Vincent Hospital, Worcester, MA 01604.
Catheterization and Cardiovascular Diagnosis
|January 1, 1988
Insights
Blunt chest trauma can cause myocardial infarction and left ventricular aneurysm due to coronary artery dissection. This case highlights the importance of considering cardiac injury after accidents.
Area of Science:
- Cardiology
- Trauma Medicine
Background:
- Blunt chest trauma is a significant cause of injury.
- Myocardial infarction (MI) can occur secondary to trauma.
Observation:
- A 38-year-old woman experienced anterolateral MI after blunt chest trauma from a motor vehicle accident.
- Cardiac catheterization revealed a large left ventricular aneurysm.
Findings:
- Angiography confirmed dissection of the proximal left anterior descending artery.
- The patient's presentation suggests a direct link between trauma, coronary dissection, and subsequent cardiac complications.
Implications:
- This case underscores the need for prompt cardiac evaluation in patients with blunt chest trauma.
- Management strategies for traumatic coronary artery dissection and myocardial infarction require careful consideration.
Abstract:
A 38-yr-old woman presented with an anterolateral myocardial infarction following blunt chest trauma sustained in a motor vehicle accident. Subsequent cardiac catheterization revealed a large left ventricular aneurysm and angiographic evidence of dissection of the proximal left anterior descending artery. Review of the literature and management are discussed.