TY - JOUR
T1 - Adding fuel to the fire
T2 - Coronary artery dissection complicating blunt chest trauma
AU - Maheshwari, Ankit
AU - Thenappan, Thenappan
AU - Das, Gladwin
PY - 2017/7
Y1 - 2017/7
N2 - A 21 year-old male presented to the emergency department with 6 h of atypical chest pain after suffering blunt chest trauma. His electrocardiogram revealed 1–1.5 mm ST segment elevation in leads V1-V3 with reciprocal depressions in II, III, and aVF. Mid-anterior wall akinesis was observed on echocardiography associated with an estimated left ventricular ejection fraction of 40%. A left main coronary artery dissection was diagnosed and treated surgically with a bypass graft. Although rare, coronary dissections can be a catastrophic complication of chest trauma.
AB - A 21 year-old male presented to the emergency department with 6 h of atypical chest pain after suffering blunt chest trauma. His electrocardiogram revealed 1–1.5 mm ST segment elevation in leads V1-V3 with reciprocal depressions in II, III, and aVF. Mid-anterior wall akinesis was observed on echocardiography associated with an estimated left ventricular ejection fraction of 40%. A left main coronary artery dissection was diagnosed and treated surgically with a bypass graft. Although rare, coronary dissections can be a catastrophic complication of chest trauma.
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U2 - 10.1016/j.ajem.2017.03.007
DO - 10.1016/j.ajem.2017.03.007
M3 - Article
C2 - 28292545
AN - SCOPUS:85014872882
SN - 0735-6757
VL - 35
SP - 1041.e5-1041.e6
JO - American Journal of Emergency Medicine
JF - American Journal of Emergency Medicine
IS - 7
ER -