Traumatic myocardial infarction with subsequent normal coronary arteriogram.
A 36-yr-old man suffered from transmural anterior myocardial infarction almost immediately after being hit by a football on the chest. There were neither external signs of injury to the chest wall, nor fractures of the thoracic cage. Coronary angiography 6 wk later revealed no demonstrable obstruction in any vessel; therefore, coronary artery injury with subsequent platelet aggregates or thrombosis followed by lysis and recanalization was suspected. Myocardial contusion or coronary spasm are alternative explanations.
D000328:Adult; D001265:Athletic Injuries / Q000150:complications*; D017023:Coronary Angiography; D005538:Football; D006335:Heart Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000150:complications*