<abstract xmlns="http://www.w3.org/1999/xhtml"><p>In posttraumatic coronary dissection, a small intimal tear occurs due to the sudden compression of the thoracic wall during the chest trauma, this being sometimes fatal. We present the case of a 56-year-old truck driver with chest trauma after a car crash. The 12-lead ECG showed signs suggestive of an acute anterior myocardial infarction, and the coronary angiography confirmed an arterial dissection of the left anterior descending coronary artery. A stent was inserted the same day, and the patient was treated accordingly. He survived for a total of three days. The autopsy and histological examination confirmed the MI and the coronary dissection. The chest trauma was linked to the patient’s death. The literature review reveals 46 cases in which the most frequent cause of chest trauma was a car or motorcycle accident; also, young male subjects were more frequently involved. Stent placement was the main course of treatment, and a delay in the onset of symptoms was also frequent.</p></abstract>

In posttraumatic coronary dissection, a small intimal tear occurs due to the sudden compression of the thoracic wall during the chest trauma, this being sometimes fatal. We present the case of a 56-year-old truck driver with chest trauma after a car crash. The 12-lead ECG showed signs suggestive of an acute anterior myocardial infarction, and the coronary angiography confirmed an arterial dissection of the left anterior descending coronary artery. A stent was inserted the same day, and the patient was treated accordingly. He survived for a total of three days. The autopsy and histological examination confirmed the MI and the coronary dissection. The chest trauma was linked to the patient’s death. The literature review reveals 46 cases in which the most frequent cause of chest trauma was a car or motorcycle accident; also, young male subjects were more frequently involved. Stent placement was the main course of treatment, and a delay in the onset of symptoms was also frequent.

Traumatic Coronary Dissection: Case Presentation and Literature Review

University of Medicine and Pharmacy, Tîrgu Mureș,

Institute of Legal Medicine, Tîrgu Mureș,

Journal of Interdisciplinary Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Traumatic Coronary Dissection: Case Presentation and Literature Review"}

In posttraumatic coronary dissection, a small intimal tear occurs due to the sudden compression of the thoracic wall during the chest trauma, this being...

Traumatic Coronary Dissection: Case Presentation and Literature Review

Publié en ligne: 29 déc. 2016

Pages: 282 - 286

Reçu: 04 nov. 2016

Accepté: 10 nov. 2016

DOI: https://doi.org/10.1515/jim-2016-0057

Mots clés
post-traumatic coronary dissection, sudden death, myocardial infarction, chest trauma

© 2016 Arthur A. Keresztesi et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Traumatic Coronary Dissection: Case Presentation and Literature Review

Publié en ligne: 29 déc. 2016

Pages: 282 - 286

Reçu: 04 nov. 2016

Accepté: 10 nov. 2016

DOI: https://doi.org/10.1515/jim-2016-0057

Mots cléspost-traumatic coronary dissection, sudden death, myocardial infarction, chest trauma

© 2016 Arthur A. Keresztesi et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Mots clés
post-traumatic coronary dissection, sudden death, myocardial infarction, chest trauma