Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma

We report the case of a 41-year-old male with traumatic coronary artery dissection after a high-speed motor vehicle collision. Computed tomography imaging revealed multiple intracranial subdural and subarachnoid bleedings, a skull base fracture and multiple bilateral rib fractures. There was no peri...

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Detalles Bibliográficos
Autores principales: Allemeersch, Gert-Jan, Muylaert, Caroline, Nieboer, Koenraad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6095083/
https://www.ncbi.nlm.nih.gov/pubmed/30128419
http://dx.doi.org/10.5334/jbr-btr.1379
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author Allemeersch, Gert-Jan
Muylaert, Caroline
Nieboer, Koenraad
author_facet Allemeersch, Gert-Jan
Muylaert, Caroline
Nieboer, Koenraad
author_sort Allemeersch, Gert-Jan
collection PubMed
description We report the case of a 41-year-old male with traumatic coronary artery dissection after a high-speed motor vehicle collision. Computed tomography imaging revealed multiple intracranial subdural and subarachnoid bleedings, a skull base fracture and multiple bilateral rib fractures. There was no pericardial hemorrhage, haemothorax or pneumothorax. No intra-abdominal lesions were found. A 12-lead electrocardiogram on arrival showed an acute myocardial infarction. Emergency angiography showed complete dissection of the right coronary artery without reflow after placement of 6 coronary stents. The patient passed away the day after. In retrospective, the right coronary dissection was visible on the trauma CT-scan.
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spelling pubmed-60950832018-08-20 Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma Allemeersch, Gert-Jan Muylaert, Caroline Nieboer, Koenraad J Belg Soc Radiol Case Report We report the case of a 41-year-old male with traumatic coronary artery dissection after a high-speed motor vehicle collision. Computed tomography imaging revealed multiple intracranial subdural and subarachnoid bleedings, a skull base fracture and multiple bilateral rib fractures. There was no pericardial hemorrhage, haemothorax or pneumothorax. No intra-abdominal lesions were found. A 12-lead electrocardiogram on arrival showed an acute myocardial infarction. Emergency angiography showed complete dissection of the right coronary artery without reflow after placement of 6 coronary stents. The patient passed away the day after. In retrospective, the right coronary dissection was visible on the trauma CT-scan. Ubiquity Press 2018-01-04 /pmc/articles/PMC6095083/ /pubmed/30128419 http://dx.doi.org/10.5334/jbr-btr.1379 Text en Copyright: © 2018 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Allemeersch, Gert-Jan
Muylaert, Caroline
Nieboer, Koenraad
Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma
title Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma
title_full Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma
title_fullStr Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma
title_full_unstemmed Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma
title_short Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma
title_sort traumatic coronary artery dissection with secondary acute myocardial infarction after blunt thoracic trauma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6095083/
https://www.ncbi.nlm.nih.gov/pubmed/30128419
http://dx.doi.org/10.5334/jbr-btr.1379
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AT nieboerkoenraad traumaticcoronaryarterydissectionwithsecondaryacutemyocardialinfarctionafterbluntthoracictrauma

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