title: Acute dissection of the left anterior descending after contusio cordis.
abstract: Traumatic coronary artery dissection after blunt chest trauma is extremely rare. The diagnosis is often delayed and some are only diagnosed postmortem. We report a case of acute dissection of the left anterior descending (LAD) after contusio cordis that presented at our institution. In our case we performed the off pump coronary artery bypass operation (OPCAB) procedure with left internal mammary artery (LIMA) on LAD by a partial lower sternotomy approach. There were no operative or perioperative complications and the patient was discharged from hospital 6 days postoperatively. OPCAB operation through the partial lower sternotomy is a safe and effective technique for the treatment of patients with acute dissection of a coronary artery after blunt chest trauma.
authors: Department of Thoracic and Cardiovascular Surgery, Johann Wolfgang Goethe University Hospital, Frankfurt a. M., Germany. nadi037@aol.com
authors: N
authors: N
authors: Monsefi
authors: A
authors: A
authors: Moritz
authors: O
authors: O
authors: Dzemali
mesh_terms: D000063:Accidents, Traffic; D000208:Acute Disease; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography / Q000379:methods; D047549:Coronary Artery Bypass, Off-Pump; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D056346:Sternotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome