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Dissecting hematoma (aneurysm) of coronary arteries
Insights
Coronary artery dissection, a rare cause of sudden death, can occur from cardiac resuscitation. This case highlights dissecting hematoma of the left main and other coronary arteries following chest compressions.
Area of Science:
- Cardiology
- Trauma Medicine
Background:
- Coronary artery dissection is a rare but serious condition.
- It can lead to myocardial infarction and sudden cardiac death.
Abstract:
Isolated dissecting hematoma (aneurysm) of a coronary artery is a rare occurrence that often results in myocardial infarction and sudden death. A case of dissecting hematoma involving the left main, left anterior descending, and left circumflex coronary arteries is described in a patient who had received vigorous closed-chest cardiac resuscitation. This is believed to be the first reported case of coronary artery dissection caused by epicardial trauma from closed-chest cardiac resuscitation. This case demonstrates that dissecting hematoma of the coronary artery can be a complication of cardiac resuscitation.