title: Traumatic acute myocardial ischaemia involving two vessels.
abstract: Myocardial infarctions caused by coronary artery injury after blunt chest trauma is a fatal, but rare occurrence. In the case reported on here, a fatally injured 69-year-old male driver sustained such trauma in a frontal car collision. The autopsy found a laceration of the left anterior descending artery as well as a subsequent subepicardial haematoma surrounding this artery and the circumflex artery. Using triphenyl tetrasolium chloride and hematoxillin-eosin stains, an acute myocardial ischaemia of the anterior left ventricle wall and the septum was diagnosed as the cause of death. Since coronary injuries affecting more than one vessel in blunt chest trauma are extremely rare, only a few papers have yet to refer to this type of coronary injury in addition to the case presented here.
authors.affiliation: Department of Forensic Medicine, Clinical Centre of Montenegro, Faculty of Medicine, University of Montenegro, Ljubljanska 1, 20000 Podgorica, Montenegro. Electronic address: com_nr@yahoo.com.
authors.forename: Nemanja
authors.initials: N
authors.lastname: Radojevic
authors.affiliation: Department of Anatomy, Faculty of Medicine, University of Montenegro, Ljubljanska 1, 20000 Podgorica, Montenegro. Electronic address: miro@t-com.me.
authors.forename: Miroslav
authors.initials: M
authors.lastname: Radunovic
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000368:Aged; D002423:Cause of Death; D003331:Coronary Vessels / Q000293:injuries*; D049429:Forensic Pathology; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*
keywords: Acute myocardial infarction; Blunt chest trauma; Coronary artery injury; Coronary dissection