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Blunt-chest-trauma-induced acute myocardial infarction

Senthil Kumar1, Yogender Singh Bansal1, Nikhil Mehta1

  • 1Postgraduate Institute of Medical Education and Research, Department of Forensic Medicine, Chandigarh, India.

Autopsy & Case Reports
|July 12, 2021
PubMed

Insights

Blunt chest trauma (BCT) rarely causes acute myocardial infarction (AMI). This case study details AMI resulting from BCT, highlighting atherosclerotic plaque rupture and thrombus formation in the coronary artery.

Area of Science:

  • Cardiology
  • Trauma Medicine
  • Pathology

Background:

  • Blunt chest trauma (BCT) is an uncommon etiology for acute myocardial infarction (AMI).
  • Understanding the mechanisms and clinical presentation of BCT-induced AMI is crucial for timely diagnosis and management.
  • Existing literature on this rare phenomenon is limited.

Purpose of the Study:

  • To report a unique case of AMI secondary to BCT in a young adult.
  • To elucidate the pathological findings associated with BCT-induced AMI.
  • To review and synthesize existing literature on BCT-induced AMI.

Main Methods:

  • Case report of a young male experiencing AMI after BCT.
  • Detailed histopathological examination of the affected coronary artery.
  • Comprehensive literature review of previously reported BCT-induced AMI cases.

Main Results:

  • Histopathology revealed atherosclerotic plaque rupture with superimposed thrombus in the left anterior descending artery.
  • The patient's AMI was directly attributed to the blunt chest trauma.
  • Review identified a small cohort of similar BCT-induced AMI cases.

Conclusions:

  • Blunt chest trauma can precipitate acute myocardial infarction, even in young individuals.
  • Atherosclerotic plaque rupture is a key pathological mechanism.
  • Further research is warranted to understand the full spectrum of BCT-induced AMI.

Keywords:
Atherosclerotic PlaqueCoronary ThrombosisMorphological and Microscopic FindingsMyocardial InfarctionThoracic Injuries

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