title: Coronary Thrombosis without Dissection following Blunt Trauma.
abstract: Blunt trauma to the chest resulting in coronary thrombosis and ST elevation myocardial infarction (STEMI) is a rare but well-described occurrence in adults. Angiography in such cases has generally disclosed complete epicardial coronary occlusion with thrombus, indistinguishable from the findings commonly found in spontaneous plaque rupture due to atherosclerotic disease. In all previously reported cases in which coronary interrogation with intravascular ultrasound (IVUS) was performed in association with acute revascularization, coronary artery dissection was implicated as the etiology of coronary thrombosis. We present the first case report of blunt trauma-associated coronary thrombosis without underlying atherosclerosis or coronary dissection, as documented by IVUS imaging.
authors.affiliation: Division of Cardiovascular Disease, Saint Luke's University Health Network, Bethlehem, PA 18015, USA.
authors.forename: Archana
authors.identifier: 0000-0001-9404-1679
authors.initials: A
authors.lastname: Sinha
authors.affiliation: Department of Emergency Medicine, Saint Luke's University Health Network, Bethlehem, PA 18015, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Sibel
authors.affiliation: Department of Trauma Surgery, Saint Luke's University Health Network, Bethlehem, PA 18015, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Thomas
authors.affiliation: Division of Cardiovascular Disease, Saint Luke's University Health Network, Bethlehem, PA 18015, USA.
authors.forename: Francis
authors.initials: F
authors.lastname: Burt
authors.affiliation: Department of Trauma Surgery, Saint Luke's University Health Network, Bethlehem, PA 18015, USA.
authors.forename: James
authors.initials: J
authors.lastname: Cipolla
authors.affiliation: Division of Cardiovascular Disease, Saint Luke's University Health Network, Bethlehem, PA 18015, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Puleo
authors.affiliation: Department of Emergency Medicine, Saint Luke's University Health Network, Bethlehem, PA 18015, USA.
authors.forename: Keith
authors.initials: K
authors.lastname: Baker