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

Authors

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

Trauma Monthly
Volume 24, Issue 2
March and April 2019
Pages 1-5

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History

  • Receive Date: 23 January 2020
  • Accept Date: 23 January 2020

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