Bilateral coronary dissection after blunt thoracic trauma: a case report.
We describe a case of a 43-year-old male who had blunt chest trauma in a previous traffic accident. He presented shortness of breath and palpitation on mild exertion 1 month later. Echocardiography showed dilated left atrium and ventricular with reduced left ventricular ejection fraction. Coronary angiography revealed a dissection of the left anterior descending coronary artery with impaired blood flow and diffuse dissection from proximal to mid right coronary artery. To our knowledge, this is the first case presenting cardiac insufficiency secondary to bilateral coronary artery dissection after blunt trauma.
Department of Cardiology, Qingdao Municipal Hospital, Shandong, China.
Yibing
Y
Shao
Wei
W
Xia
Chunquan
C
Zhang
Xu
X
Wang
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis* / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000628:therapy; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries*; D054855:Drug-Eluting Stents; D004452:Echocardiography; D006335:Heart Injuries / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000628:therapy; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000628:therapy