title: [Coronary dissection and non-penetrating chest trauma].
abstract: The occurrence of an acute myocardial infarction after non-penetrating chest trauma is an extremely rare complication. We report a case of dissection of the left anterior descending artery in a 43 year old man after being punched in the chest. Using data from a literature search relish revealed 76 cases; we review the characteristics of the pathology and its incidence. We also characterize its etiology, anatomy and path physiology. We then consider the diagnostic and therapeutic implications.
authors.affiliation: Service des urgences, université de Liège, bâtiment B35, CHU de Sart-Tilman, 4000 Liège, Belgique. Edmond.Brasseur@chu.ulg.ac.be
authors.forename: E
authors.initials: E
authors.lastname: Brasseur
authors.forename: A
authors.initials: A
authors.lastname: Ghuysen
authors.forename: V
authors.initials: V
authors.lastname: Mommens
authors.forename: N
authors.initials: N
authors.lastname: Janssen
authors.forename: V
authors.initials: V
authors.lastname: Legrand
authors.forename: V
authors.initials: V
authors.lastname: D'Orio
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000209:etiology; D003331:Coronary Vessels / Q000293:injuries* / Q000473:pathology; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D013898:Thoracic Injuries / Q000150:complications; D014949:Wounds, Nonpenetrating / Q000150:complications*