Adding fuel to the fire: Coronary artery dissection complicating blunt chest trauma

作者:Maheshwari Ankit*; Thenappan Thenappan; Das Gladwin
来源:American Journal of Emergency Medicine, 2017, 35(7): 1041.e5.
DOI:10.1016/j.ajem.2017.03.007

摘要

A 21 year-old male presented to the emergency department with 6 h of atypical chest pain after suffering blunt chest trauma. His electrocardiogram revealed 1-1.5mmST segment elevation in leads V1-V3with 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 leftmain coronary artery dissectionwas diagnosed and treated surgically with a bypass graft. Although rare, coronary dissections can be a catastrophic complication of chest trauma.

  • 出版日期2017-7