Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma | Zendy

GertJan Allemeersch | Zendy; Caroline Muylaert | Zendy; Koenraad Nieboer | Zendy

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Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma

Author(s) -

GertJan Allemeersch,

Caroline Muylaert,

Koenraad Nieboer

Publication year - 2018

Publication title -

journal of the belgian society of radiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.232

H-Index - 24

ISSN - 2514-8281

DOI - 10.5334/jbr-btr.1379

Subject(s) - medicine , myocardial infarction , dissection (medical) , right coronary artery , subarachnoid hemorrhage , radiology , blunt , surgery , artery , blunt trauma , cardiology , coronary angiography

We report the case of a 41-year-old male with traumatic coronary artery dissection after a high-speed motor vehicle collision. Computed tomography imaging revealed multiple intracranial subdural and subarachnoid bleedings, a skull base fracture and multiple bilateral rib fractures. There was no pericardial hemorrhage, haemothorax or pneumothorax. No intra-abdominal lesions were found. A 12-lead electrocardiogram on arrival showed an acute myocardial infarction. Emergency angiography showed complete dissection of the right coronary artery without reflow after placement of 6 coronary stents. The patient passed away the day after. In retrospective, the right coronary dissection was visible on the trauma CT-scan.

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