Key result
Coronary angiography with IVUS successfully diagnoses traumatic coronary artery dissection following blunt trauma.
Why the study?
Traumatic coronary artery dissection after blunt trauma is relatively rare and life-threatening, and its early recognition can be difficult.
Case Report (n=1)
Highlights the importance of maintaining high suspicion for traumatic coronary artery dissection in trauma patients with cardiac abnormalities and the utility of coronary angiography with IVUS for accurate diagnosis.
May prompt IVUS use in suspected traumatic coronary dissection after blunt trauma; case report leaves open need for validation before practice change.
Traumatic coronary artery dissection resulting from blunt trauma, is a relatively rare and life-threatening event. We present a case report of a 42-year-old male who presented with electrocardiogram abnormality and cardiac enzyme elevation following a fall from a height of 3 m. The patient was misdiagnosed with stress-induced cardiomyopathy because of the absence of clinical signs of acute coronary syndrome. The patient was subsequently diagnosed with traumatic coronary artery dissection using coronary angiography, and the relevance of the trauma was confirmed using intravascular ultrasonography (IVUS). Herein, we highlight that trauma team should maintain a high suspicion of traumatic coronary artery dissection, although the early recognition of traumatic coronary artery dissection can be difficult. Additionally, the importance of coronary angiography with IVUS modalities for the evaluation of traumatic coronary artery dissection is highlighted.
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Son et al. (2022) conducted a case report in Traumatic coronary artery dissection (n=1). Coronary angiography with intravascular ultrasonography (IVUS) was evaluated on Diagnosis of traumatic coronary artery dissection. Coronary angiography with intravascular ultrasonography successfully diagnosed traumatic coronary artery dissection in a patient following blunt trauma.
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