Open AccessA blunt chest trauma causing left anterior descending artery dissection and acute myocardial infarction treated by deferred angioplasty
Author(s) -
Rafid Fayadh Al-Aqeedi,
Waleed Ali,
Fuad Al-Ani,
Yassir Abdulrahman,
Abdulrahman Alnabti
Publication year - 2011
Publication title -
heart views
Language(s) - English
Resource type - Journals
eISSN - 0976-5123
pISSN - 1995-705X
DOI - 10.4103/1995-705x.86018
Subject(s) - medicine , dissection (medical) , myocardial infarction , surgery , blunt , angioplasty , stent , chest pain , artery , percutaneous , blunt trauma , radiology , cardiology
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.