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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

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Post-traumatic left anterior descending artery dissection.

Lexis T Laubach¹, Glenn A Burket¹, Robert D Barraco²

¹Department of Emergency and Hospital Medicine, United States of America.

The American Journal of Emergency Medicine

|March 7, 2020

Summary

Trauma patients, especially those with thoracic injuries, risk missed cardiac injury. Emergency physicians should use EKGs to screen for myocardial infarction (MI) in trauma evaluations.

Keywords:

Anticoagulants Cardiomyopathy LAD dissection Post-traumatic STEMI

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Myocardial Infarction and Functional Outcome Assessment in Pigs

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Published on: April 25, 2014

Area of Science:

Emergency Medicine
Cardiology
Trauma Surgery

Background:

Thoracic trauma poses a risk for occult cardiac injury.
Patients with severe trauma may have distracting injuries or be unable to communicate symptoms, increasing the risk of missed diagnoses.

Observation:

A 36-year-old male sustained severe injuries in a high-speed motor vehicle crash.
Initial CT scans revealed hemopneumothorax and orthopedic injuries, leading to ICU admission.
Telemetry monitoring showed ST elevations, prompting an electrocardiogram (EKG).

Findings:

The EKG revealed an acute ST-elevation myocardial infarction (STEMI).
Cardiac catheterization identified a left anterior descending (LAD) coronary artery dissection.
A stent was successfully placed, treating the LAD dissection.

Implications:

Emergency physicians must consider cardiac injury, including myocardial infarction (MI), in trauma patients.
EKG is a critical tool in the emergency department evaluation of trauma patients, particularly those with thoracic trauma.
Prompt recognition and management of cardiac injury in trauma can prevent adverse outcomes.