Left main coronary artery dissection after blunt chest trauma presented as acute anterior myocardial infarction: assessment by intravascular ultrasound: a case report.
Coronary artery injury after blunt chest trauma is very rare, but this can result in a serious acute myocardial infarction. Coronary artery dissection is an uncommon complication of thoracic injuries. We report a case of a 17-year-old male who was presented with an anterior myocardial infarction following blunt chest trauma after a bicycle accident. His coronary angiography revealed aneurysmal dilatation with dissection of the distal left main stem coronary artery. Intravascular ultrasound showed a dissecting flap at the left main stem coronary artery. The patient was treated conservatively and discharged without serious sequelae. When symptoms and electrocardiographic findings are compatible with acute myocardial infarction, careful evaluation is important in patients with thoracic injuries for proper management. If the patient is stable, medical therapy may be appropriate. But early intervention should be considered in the presence of ongoing myocardial ischemia.
Department of Medicine, Sungkyunkwan University, College of Medicine, Samsung Medical Center, Seoul, Korea.
J H
JH
Chun
S C
SC
Lee
H C
HC
Gwon
S H
SH
Lee
K P
KP
Hong
J D
JD
Seo
W R
WR
Lee
D000293:Adolescent; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000209:etiology; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000209:etiology; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000150:complications*