Key result
Urgent angiography and PCI successfully treat acute LAD and RCA dissections following blunt chest trauma.
Why the study?
Coronary artery dissection is a rare complication of blunt chest wall trauma and can be obscured by musculoskeletal injuries, complicating diagnosis and treatment.
Case Report (n=1)
Highlights the importance of electrocardiogram and bedside echocardiogram in detecting rare traumatic coronary artery dissection in patients with blunt chest trauma where musculoskeletal injuries may obscure cardiac symptoms.
Answers are grounded in this paper and cite their sources.
Cardiac injury may be masked by musculoskeletal trauma; hypothesis-generating for post-traumatic coronary dissection screening.
Coronary artery dissection is a rare complication of blunt chest wall trauma. We report a case of acute left anterior descending and right coronary artery dissections after a motor vehicle accident. The musculoskeletal injuries obscured the cardiac symptoms. Electrocardiogram and bedside echocardiogram revealed cardiac pathology, which prompted urgent coronary angiography and intervention. (Level of Difficulty: Advanced.)
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Pandey et al. (2020) conducted a case report in Multivessel Traumatic Coronary Artery Dissection (n=1). Percutaneous Coronary Intervention was evaluated on Successful percutaneous coronary intervention. Urgent coronary angiography and percutaneous coronary intervention successfully treated acute left anterior descending and right coronary artery dissections following blunt chest wall trauma.
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