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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Stab-Induced Coronary Pseudoaneurysm Managed With Stenting.

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Penetrating chest trauma can cause rare coronary artery injuries in adolescents. This case shows successful treatment of traumatic coronary pseudoaneurysms using covered stents after initial chest trauma.

Keywords:
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Area of Science:

  • Cardiology
  • Trauma Surgery
  • Adolescent Medicine

Background:

  • Penetrating chest trauma is uncommon in adolescents but can result in serious cardiac complications.
  • Coronary artery injuries are a potential, though rare, consequence of such trauma.

Observation:

  • A 16-year-old male presented with chest pain following a stab wound, initially treated for hemothorax.
  • Recurrent symptoms prompted further investigation, revealing two pseudoaneurysms in the left anterior descending artery.

Findings:

  • Multimodal imaging, including coronary computed tomography angiography, was crucial for diagnosis.
  • The patient underwent successful coronary stenting with covered stents to treat the traumatic pseudoaneurysms.

Implications:

  • This case underscores the necessity of considering coronary artery injury in adolescents with penetrating chest trauma.
  • Covered stent placement is a viable and effective treatment for left anterior descending artery pseudoaneurysms resulting from trauma.