Mediastinal hematoma and left main dissection following blunt chest trauma.
A 40-year-old man sustained blunt chest trauma resulting in sternal fracture, mediastinal hematoma, and dissection of the left main coronary artery. Because of associated injury, the coronary angiogram was performed 7 days after the accident and off-pump coronary bypass surgery was performed immediately. Two months later, follow-up angiogram revealed completely healed left main dissection. The patient continues to do well 4 months postoperatively.
Nan
Yu-Yun
YY
Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital at Chiayi, Chang Gung Institute of Technology, Taiwan, ROC.
Chang
Jen-Ping
JP
Lu
Ming-Shian
MS
Kao
Chiung-Lun
CL
D000063:Accidents, Traffic; D000328:Adult; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery; D006406:Hematoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D009203:Myocardial Infarction / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery