Trauma-induced occlusion of the left anterior descending artery following a snowmobile accident in a man without prior coronary artery disease.
Blunt chest trauma can cause several forms of heart injuries, of which myocardial infarction (MI) is recognized as a rare complication. An unusual case of occlusion of the left anterior descending artery following a snowmobile accident, with two episodes of sustained ventricular tachycardia, is presented here. Management of the occluded artery included angioplasty and stenting, less than 5 h following the trauma. The resultant decreased ejection fraction following the event emphasizes the importance of rapid intervention in the setting of acute MI following nonpenetrating trauma.
Morin
Josée
J
Institut universitaire de cardiologie et de pneumologie, Sainte-Foy, Québec.
Bogaty
Peter M
PM
Roy
Louis
L
Poirier
Paul
P
D000059:Accidents; D017130:Angioplasty; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000293:injuries*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006335:Heart Injuries / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery; D015541:Off-Road Motor Vehicles; D016103:Spinal Fractures; D015607:Stents; D013904:Thoracic Vertebrae; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating