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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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
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author Rouleau, Samuel G.
Manoukian, Martin A.C.
Wong, Gordon X.
Barnes, David K.
author_facet Rouleau, Samuel G.
Manoukian, Martin A.C.
Wong, Gordon X.
Barnes, David K.
author_sort Rouleau, Samuel G.
collection PubMed
description 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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spelling pubmed-102471772023-06-08 Tension Pneumomediastinum and Coronary Artery Thrombosis Following a Motorcycle Accident: A Case Report Rouleau, Samuel G. Manoukian, Martin A.C. Wong, Gordon X. Barnes, David K. Clin Pract Cases Emerg Med 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 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. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2023-05-27 /pmc/articles/PMC10247177/ /pubmed/37285493 http://dx.doi.org/10.5811/cpcem.1410 Text en © 2023 Rouleau et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Case Report
Rouleau, Samuel G.
Manoukian, Martin A.C.
Wong, Gordon X.
Barnes, David K.
Tension Pneumomediastinum and Coronary Artery Thrombosis Following a Motorcycle Accident: A Case Report
title Tension Pneumomediastinum and Coronary Artery Thrombosis Following a Motorcycle Accident: A Case Report
title_full Tension Pneumomediastinum and Coronary Artery Thrombosis Following a Motorcycle Accident: A Case Report
title_fullStr Tension Pneumomediastinum and Coronary Artery Thrombosis Following a Motorcycle Accident: A Case Report
title_full_unstemmed Tension Pneumomediastinum and Coronary Artery Thrombosis Following a Motorcycle Accident: A Case Report
title_short Tension Pneumomediastinum and Coronary Artery Thrombosis Following a Motorcycle Accident: A Case Report
title_sort tension pneumomediastinum and coronary artery thrombosis following a motorcycle accident: a case report
topic Case Report
url 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
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