Successful percutaneous coronary intervention in a case of right coronary artery dissection after blunt chest trauma
نویسندگان
1 Department of Trauma surgery, Chungbuk National University Hospital, Cheongju, South Korea
2 Department of Neurosurgery, Chungbuk National University Hospital, Cheongju, South Korea
3 Department of Internal Medicine, Chungbuk National University, Cheongju, South Korea
4 Department of Thoracic surgery, Chungbuk National University, Cheongju, South Korea
5
6 Department of Thoracic surgery, Chungbuk National University Hospital, Cheongju, South Korea
7 Department of Trauma surgery, Chungbuk National University Hospital, Cheongju, South Korea
8 Department of Trauma surgery, Chungbuk National University Hospital, Cheongju, South Korea
9 Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, Cheongju, South Korea
doi
10.5812/traumamon.69434چکیده
Introduction: Coronary artery dissection after blunt chest trauma is rare, can lead to myocardial infarction, and be rapidly fatal if not appropriately diagnosed and managed. Case Presentation: We had experienced a case of right coronary artery dissection after blunt chest trauma. A 57-year-old female who complained of anterior chest wall pain after a traffic accident exhibited ventricular tachycardia and complete atrioventricular block with myocardial infarction. Right coronary artery dissection was detected by coronary angiography and was successfully treated by percutaneous coronary intervention. Conclusions: Blunt cardiac injury (BCI) is often difficult to diagnosis and a high index of suspicion is needed. Coronary angiography with revascularization should be performed immediately when coronary artery occlusion or dissection is suspected.
