Tension Pneumomediastinum and Coronary Artery Thrombosis Following a Motorcycle Accident: A Case Report

Introduction: Tension pneumomediastinum and coronary artery thrombosis (CAT) secondary to blunt polytrauma are, rare yet have the potential for serious complication. Case Report: A 40-year-old man presented to the emergency department following a motorcycle accident. He was found to have multiple or...

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Detalles Bibliográficos
Autores principales: Rouleau, Samuel G., Manoukian, Martin A.C., Wong, Gordon X., Barnes, David K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10247177/
https://www.ncbi.nlm.nih.gov/pubmed/37285493
http://dx.doi.org/10.5811/cpcem.1410
Descripción
Sumario:Introduction: Tension pneumomediastinum and coronary artery thrombosis (CAT) secondary to blunt polytrauma are, rare yet have the potential for serious complication. Case Report: A 40-year-old man presented to the emergency department following a motorcycle accident. He was found to have multiple orthopedic injuries, pneumothorax, and pneumomediastinum. An electrocardiogram showed myocardial infarction. He developed obstructive shock physiology that resolved with mediastinal percutaneous needle drainage. Subsequent coronary angiography revealed acute thrombosis of the left circumflex artery. CONCLUSION: This is a rare case of traumatic tension pneumomediastinum associated with coronary artery thrombosis requiring coronary stenting. Emergency physicians should be mindful of CAT in the setting of blunt chest injury.

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