Myocardial infarction caused by coronary artery injury after a blunt chest trauma.
We report the case of a 29-year-old man, victim of a car accident, who suffered a severe blunt chest trauma, with evolving congestive heart failure. He had previously had a good overall health status, with no symptoms of cardiovascular disease. At the initial assessment, the electrocardiogram showed Q waves in the precordial leads and the echocardiogram disclosed severe left ventricular dysfunction. Coronary angiogram showed a proximal left anterior descending coronary artery lesion, with anterior wall akinesis on contrast-enhanced ventriculography. A Thallium-201 single photon emission computed tomography (SPECT) showed no viability. He remained on medical treatment with good evolution.
Laboratório de Ecocardiografia, Instituto do Coração, Faculdade de Medicina, Universidade de São Paulo, Av. Enéias de Carvalho Aguiar 44, São Paulo, Brazil. marcio.lima@incor.usp.br
Márcio Silva Miguel
MS
Lima
Jeane Mike
JM
Tsutsui
Victor Sarli
VS
Issa
D000328:Adult; D003331:Coronary Vessels / Q000293:injuries*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*; D013794:Thallium Radioisotopes; D013898:Thoracic Injuries / Q000150:complications*; D015899:Tomography, Emission-Computed, Single-Photon; D014949:Wounds, Nonpenetrating / Q000150:complications*
D013794:Thallium Radioisotopes