Blunt Chest Trauma Presenting with Acute Coronary Event
Arif Albulushi1, Sajid Kadir1, David Barton1
1Division of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Oman Medical Journal
|July 9, 2021
Summary
Blunt chest trauma can cause myocardial infarction, specifically non-ST segment elevation myocardial infarction. This case highlights coronary artery dissection and narrowing after trauma, treated medically without intervention.
Area of Science:
- Cardiology
- Trauma Medicine
- Diagnostic Imaging
Background:
- Blunt chest trauma is a significant cause of cardiac injury.
- Non-ST segment elevation myocardial infarction (NSTEMI) can be a consequence of traumatic cardiac events.
- Accurate diagnosis of coronary artery injury following trauma is crucial for appropriate management.
Observation:
- A patient presented with symptoms suggestive of NSTEMI after blunt chest trauma.
- Left lateral contusion was the identified mechanism of injury.
- Initial diagnosis was NSTEMI.
Findings:
- Coronary angiography revealed dissection and narrowing in the distal circumflex artery and the first obtuse marginal branch.
- Cardiac computed tomography confirmed the coronary artery abnormalities.
- Medical management was initiated for the coronary artery dissection and narrowing.
Implications:
- This case underscores the importance of considering coronary artery dissection in patients with myocardial injury following blunt chest trauma.
- Non-invasive and invasive imaging modalities are vital for diagnosing traumatic coronary artery injuries.
- Conservative medical management can be effective for certain traumatic coronary artery dissections, avoiding the need for percutaneous coronary intervention or surgery.
Keywords:
Coronary Artery DiseaseDissectionThoracic InjuriesTomography, X-Ray ComputedWounds, NonpenetratingMore Related Videos
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