A Collaborative Case Report Utilizing ChatGPT AI Technology of Traumatic Right Coronary Artery Dissection Resulting
Bhuvi Raxwal1, Prashant Baisla2, Jayant Nath3
1Medicine, Access Health Care Physicians, Zephyrhills, USA.
Insights
Traumatic Coronary Artery Dissection (TCAD) following blunt chest trauma is rare. Prompt diagnosis and stenting of the right coronary artery in this case improved outcomes.
Area of Science:
- Cardiology
- Trauma Surgery
Background:
- Traumatic Coronary Artery Dissection (TCAD) is a rare, life-threatening complication of blunt chest trauma.
- Early recognition and intervention are crucial for patient survival and recovery.
Observation:
- A 67-year-old male sustained blunt chest trauma from a motor vehicle accident.
- Presented with chest pain, ECG showing inferior ST-elevation myocardial infarction, and fractures of C2 and the 12th rib.
Findings:
- Coronary angiography revealed a dissection in the distal right coronary artery.
- The patient successfully underwent heparinization and coronary stenting of the affected artery.
Implications:
- This case underscores the importance of considering TCAD in patients with blunt chest trauma and myocardial infarction.
- Comprehensive management, including cardiac intervention and conservative fracture treatment, is vital for optimal patient outcomes.
Abstract:
Traumatic Coronary Artery Dissection (TCAD) is a rare but potentially life-threatening condition that can occur as a result of blunt chest trauma. This case report presents the case of a 67-year-old male who presented to the hospital after a motor vehicle accident with chest pain and ECG showing an inferior wall ST-elevation myocardial infarction. Further imaging revealed a nondisplaced fracture of the right side of C2 and a left 12th rib. Coronary angiography showed a dissection in the distal segment of the right coronary artery. The patient was given heparin and underwent coronary stenting of the right coronary artery. The patient was monitored in the intensive care unit for any post-traumatic complications and was managed conservatively for the cervical fracture. This case report highlights the importance of prompt diagnosis and comprehensive treatment in TCAD cases to improve outcomes and prevent further complications.
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