title: Trauma-induced acute myocardial infarction due to delayed dissection of the left anterior descending coronary artery.
abstract: Acute myocardial infarction is a very rare, life-threatening complication of blunt chest trauma. A 27-year-old man with no previous medical history was admitted to the emergency department due to multiple trauma following a car accident. After 48h following the accident, the patient's condition rapidly deteriorated, with severe dyspnea at rest, tachycardia, and increasing chest pain. A 12-lead ECG showed a sinus tachycardia at 120bpm with significant ST-segment elevation in leads V1 to V5, pathologic Q wave in I, aVL, and QS complex in leads V1 to V4. Bedside echocardiography disclosed akinesis of the anterior and lateral walls, apex, and anterior septum with severely decreased left ventricular ejection fraction of 30%. Urgent coronary angiography revealed an occlusive dissection of the proximal left anterior descending coronary artery. Primary percutaneous coronary intervention with a Biolimus A9™-eluting stent implantation were successfully performed. The further course was uneventful. At 12-month follow-up, the patient has remained asymptomatic with no recurrence of cardiovascular symptoms.
authors.affiliation: Department of Coronary Disease and Heart Failure, Faculty of Medicine, Jagiellonian University Medical College, The John Paul II Hospital, Krakow, Poland.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Wilczynska-Golonka
authors.affiliation: Department of Coronary Disease and Heart Failure, Faculty of Medicine, Jagiellonian University Medical College, The John Paul II Hospital, Krakow, Poland. Electronic address: pawel.rostoff@uj.edu.pl.
authors.forename: Pawel
authors.initials: P
authors.lastname: Rostoff
authors.affiliation: Department of Coronary Disease and Heart Failure, Faculty of Medicine, Jagiellonian University Medical College, The John Paul II Hospital, Krakow, Poland.
authors.forename: Aleksander
authors.initials: A
authors.lastname: Siniarski
authors.affiliation: Department of Coronary Disease and Heart Failure, Faculty of Medicine, Jagiellonian University Medical College, The John Paul II Hospital, Krakow, Poland.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Skrzypek
authors.affiliation: Department of Coronary Disease and Heart Failure, Faculty of Medicine, Jagiellonian University Medical College, The John Paul II Hospital, Krakow, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Gackowski
authors.affiliation: Department of Coronary Disease and Heart Failure, Faculty of Medicine, Jagiellonian University Medical College, The John Paul II Hospital, Krakow, Poland.
authors.forename: Ewa
authors.initials: E
authors.lastname: Konduracka
authors.affiliation: Department of Coronary Disease and Heart Failure, Faculty of Medicine, Jagiellonian University Medical College, The John Paul II Hospital, Krakow, Poland.
authors.forename: Jadwiga
authors.initials: J
authors.lastname: Nessler
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D002637:Chest Pain / Q000209:etiology; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D054855:Drug-Eluting Stents; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D062645:Percutaneous Coronary Intervention; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*
keywords: Acute coronary syndrome; Blunt chest trauma; Coronary artery dissection; Myocardial infarction