Isolated coronary artery rupture after blunt chest trauma.
After blunt chest trauma, a patient with chronic coronary heart disease sustained an isolated rupture of the right coronary artery. All findings suggested a heart contusion complicated by a non-compromising pericardial effusion and aggravated by anticoagulation with phenprocoumon. After right-ventricular failure occurred, emergency coronary revascularization could not prevent a fatal outcome. This case emphasizes that a coronary artery lesion may be considered in those cases of thoracic trauma with preexisting coronary calcification.
Department of Thoracic, Cardiac and Vascular Surgery, University of Tübingen, Germany.
A
A
Straub
W
W
Beierlein
A
A
Küttner
U
U
Hahn
S
S
Raygrotzki
G
G
Ziemer
D000368:Aged; D001158:Arteries / Q000293:injuries*; D003327:Coronary Disease / Q000150:complications; D003331:Coronary Vessels / Q000293:injuries*; D006341:Heart Rupture / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D013898:Thoracic Injuries / Q000150:complications*; D014057:Tomography, X-Ray Computed; D018497:Ventricular Dysfunction, Right / Q000150:complications; D014949:Wounds, Nonpenetrating / Q000150:complications*