[Traumatic coronary artery dissection after blunt thoracic trauma--a case report].
We present a case of cardiac infarction after blunt chest trauma. The 49-year-old patient suffered from severe angina and the ECG demonstrated a pattern of acute anterior wall myocardial infarction. Acute coronary angiography was performed showing complete occlusion of the left interventricular coronary artery due to dissection. An attempted revascularization by percutaneous transluminal coronary angioplasty failed and the patient was then submitted to bypass surgery. We conclude that possible heart injury should be considered in patients with blunt chest trauma to lead them to adequate therapy.
Klüppel
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Unfallchirurgische Klinik, Kliniken im Mühlenkreis, Klinikum Minden, Friedrichstrasse 17, 32427 Minden. dominik.klueppel@t-online.de
Bödeker
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D000062:Accidents, Occupational; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D013898:Thoracic Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*
Traumatische Koronararteriendissektion nach stumpfem Thoraxtrauma--Fallbericht.