Left Main Coronary Dissection Masquerading in Pediatric Polytrauma: A Diagnostic Challenge
1Department of Cardiology, First Affiliated Hospital With Nanjing Medical University, Nanjing, China.
Background:
Traumatic coronary artery dissection is an uncommon yet catastrophic sequela of blunt chest trauma, posing significant diagnostic and therapeutic challenges, particularly in young patients without pre-existing coronary disease.
Case Summary:
A 16-year-old male adolescent presented after an electric bicycle accident with severe polytrauma and developed unexpected cardiogenic shock. Investigation revealed a left main coronary artery dissection extending into the proximal left anterior descending artery. Despite emergency coronary artery bypass grafting and full mechanical circulatory support, he succumbed to complications.
Take-Home Messages:
High-energy deceleration alone can cause coronary dissection. Early suspicion and multidisciplinary approach for managing this life-threatening condition is crucial.
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