A Blunt Chest Trauma Causing Left Anterior Descending Artery Dissection and Acute Myocardial Infarction Treated by Deferred Angioplasty.

Autor: Al-Aqeedi, Rafid Fayadh, Ali, Waleed Muhsin, Al-Ani, Fuad, Abdulrahman, Yassir S., Alnabti, Abdulrahman
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Zdroj: Heart Views; Apr-Jun2011, Vol. 12 Issue 2, p71-73, 3p
Abstrakt: Traumatic coronary artery dissection is an uncommon cause of acute myocardial infarction (AMI). We report a case of blunt chest trauma resulting from a motorcycle collision causing ostial dissection of the left anterior descending (LAD) artery in a 31-year-old previously healthy male. The patient also suffered from compound comminuted fractures of the humerus and ulna and severe liver laceration, which hampered both percutaneous and surgical acute revasularization. After a stormy hospital course, a bare metal stent was implanted to seal the LAD artery dissection. The patient was discharged in a stable condition and was followed-up for rehabilitation. This case report underscores the multidisciplinary approach in facing challenges encountered after rare sequelae of chest trauma. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index