title: Cardiovascular magnetic resonance of myocardial infarction after blunt chest trauma: a heartbreaking soccer-shot.
abstract: Cardiac injury occasionally occurs as a result of blunt chest trauma. Most cardiac complications in chest trauma are due to myocardial contusion rather than direct damage to the coronary arteries. However, traumatic coronary injury has been reported, and a variety of underlying pathophysiological mechanisms have been proposed. We present a 26 year old patient presenting with an acute coronary syndrome as a consequence of a soccer-shot impact to the chest. CMR showed apical inferior infarction, as well as multiple small septal lesions which were presumed to have resulted from embolization. The culprit lesion was a proximal 75% LAD stenosis with a prominent plaque-rupture and thrombus-formation, and the distal LAD was occluded by thromboembolic material.
authors.affiliation: Medizinische Klinik II, Klinikum Kirchheim unter Teck, Kreiskliniken Esslingen, Germany. h.baccouche@gmx.de
authors.forename: Hannibal
authors.initials: H
authors.lastname: Baccouche
authors.forename: Torsten
authors.initials: T
authors.lastname: Beck
authors.forename: Martin
authors.initials: M
authors.lastname: Maunz
authors.forename: Peter
authors.initials: P
authors.lastname: Fogarassy
authors.forename: Martin
authors.initials: M
authors.lastname: Beyer
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D000328:Adult; D017130:Angioplasty / Q000295:instrumentation; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D003328:Coronary Thrombosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D004562:Electrocardiography; D006335:Heart Injuries / Q000150:complications* / Q000473:pathology / Q000628:therapy; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D009206:Myocardium / Q000473:pathology; D012720:Severity of Illness Index; D012916:Soccer / Q000293:injuries*; D015607:Stents; D013923:Thromboembolism / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000473:pathology / Q000628:therapy