Cargando…
Acute myocardial infarction after blunt chest wall trauma with underlying coronary aneurysm: a case report
BACKGROUND: Kawasaki disease is an acute febrile disease with mucocutaneous and cardiovascular involvement affecting infants and young children. Though coronary artery abnormalities are common in Kawasaki disease, no consensus has been reached regarding the treatment of acute coronary artery disease...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006860/ https://www.ncbi.nlm.nih.gov/pubmed/29914384 http://dx.doi.org/10.1186/s12872-018-0861-x |
_version_ | 1783332926934482944 |
---|---|
author | Guo, Xu Wang, Xiaoou Zhang, Xinzhong Ahmed, Ahmed O. Hsi, David H. Zhang, Daqing |
author_facet | Guo, Xu Wang, Xiaoou Zhang, Xinzhong Ahmed, Ahmed O. Hsi, David H. Zhang, Daqing |
author_sort | Guo, Xu |
collection | PubMed |
description | BACKGROUND: Kawasaki disease is an acute febrile disease with mucocutaneous and cardiovascular involvement affecting infants and young children. Though coronary artery abnormalities are common in Kawasaki disease, no consensus has been reached regarding the treatment of acute coronary artery diseases in this population. CASE PRESENTATION: We described a case of myocardial infarction triggered by blunt chest wall trauma in a 20 years old girl. She presented with chest pain and breathlessness with brief syncope, lab results and electrocardiogram findings were consistent with acute myocardial infarction. Chest computer tomography (CT) demonstrated coronary artery calcifications and echocardiography revealed multiple giant left anterior descending aneurysms, suggestive of Kawasaki disease. Subsequent contrast enhanced 3 dimensional coronary computer tomography angiography (CTA) confirmed these findings. We managed this young patient with a conservative strategy. The patient remained symptom free during 2-years follow-ups. CONCLUSIONS: Prompt medical treatment for traumatic myocardial infarction even with underlying giant coronary artery aneurysms can successfully preserve left ventricular function and prevent remodeling with good short term prognosis. |
format | Online Article Text |
id | pubmed-6006860 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-60068602018-06-26 Acute myocardial infarction after blunt chest wall trauma with underlying coronary aneurysm: a case report Guo, Xu Wang, Xiaoou Zhang, Xinzhong Ahmed, Ahmed O. Hsi, David H. Zhang, Daqing BMC Cardiovasc Disord Case Report BACKGROUND: Kawasaki disease is an acute febrile disease with mucocutaneous and cardiovascular involvement affecting infants and young children. Though coronary artery abnormalities are common in Kawasaki disease, no consensus has been reached regarding the treatment of acute coronary artery diseases in this population. CASE PRESENTATION: We described a case of myocardial infarction triggered by blunt chest wall trauma in a 20 years old girl. She presented with chest pain and breathlessness with brief syncope, lab results and electrocardiogram findings were consistent with acute myocardial infarction. Chest computer tomography (CT) demonstrated coronary artery calcifications and echocardiography revealed multiple giant left anterior descending aneurysms, suggestive of Kawasaki disease. Subsequent contrast enhanced 3 dimensional coronary computer tomography angiography (CTA) confirmed these findings. We managed this young patient with a conservative strategy. The patient remained symptom free during 2-years follow-ups. CONCLUSIONS: Prompt medical treatment for traumatic myocardial infarction even with underlying giant coronary artery aneurysms can successfully preserve left ventricular function and prevent remodeling with good short term prognosis. BioMed Central 2018-06-18 /pmc/articles/PMC6006860/ /pubmed/29914384 http://dx.doi.org/10.1186/s12872-018-0861-x Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Guo, Xu Wang, Xiaoou Zhang, Xinzhong Ahmed, Ahmed O. Hsi, David H. Zhang, Daqing Acute myocardial infarction after blunt chest wall trauma with underlying coronary aneurysm: a case report |
title | Acute myocardial infarction after blunt chest wall trauma with underlying coronary aneurysm: a case report |
title_full | Acute myocardial infarction after blunt chest wall trauma with underlying coronary aneurysm: a case report |
title_fullStr | Acute myocardial infarction after blunt chest wall trauma with underlying coronary aneurysm: a case report |
title_full_unstemmed | Acute myocardial infarction after blunt chest wall trauma with underlying coronary aneurysm: a case report |
title_short | Acute myocardial infarction after blunt chest wall trauma with underlying coronary aneurysm: a case report |
title_sort | acute myocardial infarction after blunt chest wall trauma with underlying coronary aneurysm: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006860/ https://www.ncbi.nlm.nih.gov/pubmed/29914384 http://dx.doi.org/10.1186/s12872-018-0861-x |
work_keys_str_mv | AT guoxu acutemyocardialinfarctionafterbluntchestwalltraumawithunderlyingcoronaryaneurysmacasereport AT wangxiaoou acutemyocardialinfarctionafterbluntchestwalltraumawithunderlyingcoronaryaneurysmacasereport AT zhangxinzhong acutemyocardialinfarctionafterbluntchestwalltraumawithunderlyingcoronaryaneurysmacasereport AT ahmedahmedo acutemyocardialinfarctionafterbluntchestwalltraumawithunderlyingcoronaryaneurysmacasereport AT hsidavidh acutemyocardialinfarctionafterbluntchestwalltraumawithunderlyingcoronaryaneurysmacasereport AT zhangdaqing acutemyocardialinfarctionafterbluntchestwalltraumawithunderlyingcoronaryaneurysmacasereport |