Premium
Left anterior descending artery dissection: a rare sequela of blunt chest trauma
Author(s) -
Das Souvik K.,
Itty Charles,
Vaishnav Manan,
Mumford Drew
Publication year - 2020
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.14904
Subject(s) - medicine , sequela , dissection (medical) , blunt trauma , surgery , radiology , conservative management , artery , blunt , artery dissection , conservative treatment , coronary angiography , cardiology , myocardial infarction
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.