Blunt traumatic coronary artery dissection: A case study
Background: Coronary artery dissection is an extremely rare but lethal complication of blunt chest trauma. Dissection may cause thrombus formation or vasospasm, leading to the clinical presentation of acute myocardial infarction. Diagnosis can be difficult as traumatic chest pain has several etiolog...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-02-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644021001990 |
| _version_ | 1798024753725833216 |
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| author | Aaron J. Blevins Steven J. Repas Brittney M. Alexander Christa Siebenburgen |
| author_facet | Aaron J. Blevins Steven J. Repas Brittney M. Alexander Christa Siebenburgen |
| author_sort | Aaron J. Blevins |
| collection | DOAJ |
| description | Background: Coronary artery dissection is an extremely rare but lethal complication of blunt chest trauma. Dissection may cause thrombus formation or vasospasm, leading to the clinical presentation of acute myocardial infarction. Diagnosis can be difficult as traumatic chest pain has several etiologies; therefore, an electrocardiogram (ECG) is necessary in all cases of thoracic trauma [1-3]. Case report: Thirty-eight-year old female, with no significant past medical history, presented to a freestanding emergency department with complaints of severe chest pain and right shoulder pain after a blunt trauma water sport accident. Upon selective angiography of left and right coronary artery and left heart catheterization, the patient was found to have an occluded distal left anterior descending artery (LAD). The patient underwent aspiration thrombectomy of the proximal LAD artery and percutaneous transluminal coronary angioplasty (PTCA) of distal LAD artery, which decreased the stenosis from 100% to less than 10%. The patient was discharged home on hospital day three with follow up in one month.Coronary artery dissection should be considered in blunt thoracic trauma particularly in cases of unexplained chest pain, regardless of the mechanism of injury, age of patient or comorbidities. Patients should be evaluated with an ECG, troponin, and possibly an echocardiogram to rule out this type of injury. |
| first_indexed | 2024-04-11T18:07:42Z |
| format | Article |
| id | doaj.art-936f43127b94431ba2b767f1364822c8 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-04-11T18:07:42Z |
| publishDate | 2022-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-936f43127b94431ba2b767f1364822c82022-12-22T04:10:17ZengElsevierTrauma Case Reports2352-64402022-02-0137100594Blunt traumatic coronary artery dissection: A case studyAaron J. Blevins0Steven J. Repas1Brittney M. Alexander2Christa Siebenburgen3Wright State University Boonshoft School of Medicine, 3640 Colonel Glenn Hwy, Fairborn, OH 45324, USAWright State University Boonshoft School of Medicine, 3640 Colonel Glenn Hwy, Fairborn, OH 45324, USAAcute Care, Trauma, and General Surgery, Kettering Medical Center, 3535 Southern Blvd, Dayton, OH 45429, USAAcute Care, Trauma, and General Surgery, Kettering Medical Center, 3535 Southern Blvd, Dayton, OH 45429, USA; Corresponding author.Background: Coronary artery dissection is an extremely rare but lethal complication of blunt chest trauma. Dissection may cause thrombus formation or vasospasm, leading to the clinical presentation of acute myocardial infarction. Diagnosis can be difficult as traumatic chest pain has several etiologies; therefore, an electrocardiogram (ECG) is necessary in all cases of thoracic trauma [1-3]. Case report: Thirty-eight-year old female, with no significant past medical history, presented to a freestanding emergency department with complaints of severe chest pain and right shoulder pain after a blunt trauma water sport accident. Upon selective angiography of left and right coronary artery and left heart catheterization, the patient was found to have an occluded distal left anterior descending artery (LAD). The patient underwent aspiration thrombectomy of the proximal LAD artery and percutaneous transluminal coronary angioplasty (PTCA) of distal LAD artery, which decreased the stenosis from 100% to less than 10%. The patient was discharged home on hospital day three with follow up in one month.Coronary artery dissection should be considered in blunt thoracic trauma particularly in cases of unexplained chest pain, regardless of the mechanism of injury, age of patient or comorbidities. Patients should be evaluated with an ECG, troponin, and possibly an echocardiogram to rule out this type of injury.http://www.sciencedirect.com/science/article/pii/S2352644021001990Blunt traumaCoronary artery dissectionEchocardiogram |
| spellingShingle | Aaron J. Blevins Steven J. Repas Brittney M. Alexander Christa Siebenburgen Blunt traumatic coronary artery dissection: A case study Trauma Case Reports Blunt trauma Coronary artery dissection Echocardiogram |
| title | Blunt traumatic coronary artery dissection: A case study |
| title_full | Blunt traumatic coronary artery dissection: A case study |
| title_fullStr | Blunt traumatic coronary artery dissection: A case study |
| title_full_unstemmed | Blunt traumatic coronary artery dissection: A case study |
| title_short | Blunt traumatic coronary artery dissection: A case study |
| title_sort | blunt traumatic coronary artery dissection a case study |
| topic | Blunt trauma Coronary artery dissection Echocardiogram |
| url | http://www.sciencedirect.com/science/article/pii/S2352644021001990 |
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