title: Adding fuel to the fire: Coronary artery dissection complicating blunt chest trauma.
abstract: A 21year-old male presented to the emergency department with 6 h of atypical chest pain after suffering blunt chest trauma. His electrocardiogram revealed 1-1.5mm ST segment elevation in leads V1-V3 with reciprocal depressions in II, III, and aVF. Mid-anterior wall akinesis was observed on echocardiography associated with an estimated left ventricular ejection fraction of 40%. A left main coronary artery dissection was diagnosed and treated surgically with a bypass graft. Although rare, coronary dissections can be a catastrophic complication of chest trauma.
authors.affiliation: University of Minnesota, Department of Medicine, Cardiovascular Division, Minneapolis, MN, United States. Electronic address: mahes046@umn.edu.
authors.forename: Ankit
authors.initials: A
authors.lastname: Maheshwari
authors.affiliation: University of Minnesota, Department of Medicine, Cardiovascular Division, Minneapolis, MN, United States.
authors.forename: Thenappan
authors.initials: T
authors.lastname: Thenappan
authors.affiliation: University of Minnesota, Department of Medicine, Cardiovascular Division, Minneapolis, MN, United States.
authors.forename: Gladwin
authors.initials: G
authors.lastname: Das
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D001145:Arrhythmias, Cardiac / Q000503:physiopathology; D002637:Chest Pain / Q000000981:diagnostic imaging*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D004452:Echocardiography; D004635:Emergency Medicine; D006801:Humans; D008297:Male; D013898:Thoracic Injuries / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D055815:Young Adult
keywords: Chest trauma; Coronary dissection