Trauma Monthly

Trauma Monthly

Successful percutaneous coronary intervention in a case of right coronary artery dissection after blunt chest trauma

Authors
Su Young Yoon 1
Young Hoon Sul 2
Jin Bong Ye 2
Seung Je Ko 2
Hong Rye Kim 3
Jung Hee Choi 4
Jang Whan Bae 5
Si Wook Kim 6
Jin Young Lee Jin Young Lee
1 Department of Thoracic surgery, Chungbuk National University Hospital, Cheongju, South Korea
2 Department of Trauma surgery, Chungbuk National University Hospital, Cheongju, South Korea
3 Department of Neurosurgery, Chungbuk National University Hospital, Cheongju, South Korea
4 Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, Cheongju, South Korea
5 Department of Internal Medicine, Chungbuk National University, Cheongju, South Korea
6 Department of Thoracic surgery, Chungbuk National University, Cheongju, South Korea
10.5812/traumamon.69434
Abstract
Introduction: Coronary artery dissection after blunt chest trauma is rare, can lead to myocardial infarction, and be rapidly fatal if not appropriately diagnosed and managed.
Case Presentation: We had experienced a case of right coronary artery dissection after blunt chest trauma. A 57-year-old female who complained of anterior chest wall pain after a traffic accident exhibited ventricular tachycardia and complete atrioventricular block with myocardial infarction. Right coronary artery dissection was detected by coronary angiography and was successfully treated by percutaneous coronary intervention.
Conclusions: Blunt cardiac injury (BCI) is often difficult to diagnosis and a high index of suspicion is needed. Coronary angiography with revascularization should be performed immediately when coronary artery occlusion or dissection is suspected.
Keywords
Blunt Chest Trauma
Percutaneous Coronary Intervention
Right Coronary Artery Dissection
Trauma Monthly
Volume 24, Issue 2
March and April 2019
Pages 1-5

  • Receive Date 23 January 2020