Obstruction of aortocoronary bypass due to blunt chest trauma.
We report the first case in the literature of acute myocardial infarction due to blunt chest trauma in a patient with saphenous vein aortocoronary bypass to the anterior descending coronary artery. Angiograms demonstrated two stumps - aortic and coronary - suggesting that the primary obstruction was at the graft level with subsequent anterior descending occlusion. A large left ventricular aneurysm developed. As his clinical situation was stable, early aneurysmectomy was not done, and the patient is asymptomatic 15 months after the trauma.
D000328:Adult; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000601:surgery; D006322:Heart Aneurysm / Q000209:etiology; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery; D013898:Thoracic Injuries / Q000150:complications*; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000150:complications*