Long-term follow-up of coronary artery dissection due to blunt chest trauma with spontaneous healing in a young woman.
We report a previously healthy 17-year-old woman who experienced coronary artery dissection with an acute transmural anterior myocardial infarction and myocardial contusion following blunt chest trauma in a motorcycle accident. A chest roentgenogram on admission was normal, and an electrocardiogram showed an acute transmural anterior myocardial infarction with complete right-bundle-branch block. A 2D echocardiogram revealed an akinesis of the anterior wall and a hypokinesis of the posterior wall in the left ventricle. Initial coronary angiography demonstrated severe stenosis with delayed antegrade filling in the proximal left anterior descending artery. Technetium-99m pyrophosphate myocardia scintigraphy demonstrated diffuse tracer uptake in the left ventricular wall. Follow-up coronary angiography performed 1 year after the accident showed a minor stenosis without any filling defects. We describe long-term follow-up of the coronary artery dissection following blunt chest trauma with spontaneous healing.
Masuda
T
T
Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Kanagawa, Japan.
Akiyama
H
H
Kurosawa
T
T
Ohwada
T
T
D000293:Adolescent; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology*; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology*; D017023:Coronary Angiography; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006335:Heart Injuries / Q000150:complications*; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D019275:Radiopharmaceuticals; D012075:Remission, Spontaneous; D016698:Technetium Tc 99m Pyrophosphate; D014949:Wounds, Nonpenetrating / Q000150:complications*
D019275:Radiopharmaceuticals; D016698:Technetium Tc 99m Pyrophosphate