Electric Shock-Induced Coronary Artery Thrombosis and Dissection.

Autor:	Jacob S; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida. Electronic address: jacob.samuel@mayo.edu., Belli EV; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida.
Jazyk:	angličtina
Zdroj:	The Annals of thoracic surgery [Ann Thorac Surg] 2019 Feb; Vol. 107 (2), pp. e105-e106. Date of Electronic Publication: 2018 Jul 17.
DOI:	10.1016/j.athoracsur.2018.06.013
Abstrakt:	Electric shock-induced myocardial infarction is rare. Shock-induced coronary artery thrombosis and dissection in multiple distributions have not been reported. After shock, coronary thrombosis may cause anginal symptoms, and any coronary artery may be damaged. A 32-year-old man presented with angina and ischemia-related symptoms after 6,000-V electric shock. He reported occasional exertional angina; the stress echocardiography result was positive for ischemia. Cardiac catheterization showed severe multivessel disease, an occluded left anterior descending coronary artery, and an occluded circumflex artery with collateralization to the distal left anterior descending coronary artery. Surgical intervention detected global coronary dissection and thrombosis. Bypass grafting achieved complete revascularization. The patient was successfully discharged home. (Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu