Left anterior descending artery dissection: a rare sequela of blunt chest trauma
| Autor: | Drew Mumford, Manan Vaishnav, Charles Itty, Souvik K. Das |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Coronary angiography medicine.medical_specialty Thoracic Injuries Bypass grafting medicine.medical_treatment Myocardial Infarction Dissection (medical) 030204 cardiovascular system & hematology Coronary Angiography Wounds Nonpenetrating 03 medical and health sciences 0302 clinical medicine Blunt Internal Medicine medicine Humans 030212 general & internal medicine Artery dissection Aged business.industry Dissection Percutaneous coronary intervention Sequela medicine.disease Coronary Vessels medicine.anatomical_structure Radiology business Artery |
| Zdroj: | Internal Medicine Journal. 50:880-882 |
| ISSN: | 1445-5994 1444-0903 |
| DOI: | 10.1111/imj.14904 |
| Popis: | Traumatic coronary artery (CA) dissection is an extremely rare sequela of blunt chest trauma. Diagnosis of CA dissection in the setting of chest trauma is challenging. While conventionally coronary angiography has been the diagnostic tool of choice, modern imaging techniques such as optical coherence tomography can further improve diagnostic accuracy and help optimise treatment strategy. The ideal treatment modality for managing CA dissection has not been established with case reports revealing a range of treatment strategies ranging from CA bypass grafting to a completely conservative management. Here we present a case report of a 68-year-old man who suffered a traumatic proximal left anterior descending artery dissection as a consequence of a motor-vehicle accident and was subsequently treated with a combination of conservative and interventional strategy with optimal patient outcome. |
| Databáze: | OpenAIRE |
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