Coronary artery occlusion and myocardial infarction: a seldom encountered complication of blunt chest trauma.
Myocardial infarction is a rare complication that can occur after blunt chest trauma. The authors describe a 30-year-old man who experienced a fatal anterolateral myocardial infarction after chest trauma in a motorcycle accident. The electrocardiogram and creatine phosphokinase-MB isoenzymes levels suggested myocardial necrosis. Tc-99m phosphate myocardial scintigraphy identified an extensive doughnut-shaped uptake over the cardiac area. An echocardiogram revealed severe left ventricular impairment. Coronary angiography confirmed complete occlusion of the proximal left anterior descending coronary artery.
Banzo
I
I
Nuclear Medicine Service, University Hospital Marqués de Valdecilla, Santander, Spain.
Montero
A
A
Uriarte
I
I
Vallina
N
N
Hernández
A
A
Guede
C
C
Quirce
R
R
Carril
J M
JM
D000328:Adult; D017023:Coronary Angiography; D003327:Coronary Disease / Q000209:etiology*; D003402:Creatine Kinase / Q000032:analysis; D004164:Diphosphonates; D004452:Echocardiography; D017809:Fatal Outcome; D006321:Heart / Q000000981:diagnostic imaging*; D006801:Humans; D007527:Isoenzymes; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D009336:Necrosis; D015609:Organotechnetium Compounds; D019275:Radiopharmaceuticals; D013898:Thoracic Injuries / Q000150:complications*; D014055:Tomography, Emission-Computed; D018487:Ventricular Dysfunction, Left; D014949:Wounds, Nonpenetrating / Q000150:complications*