Key result
Deferred BMS stenting successfully seals traumatic LAD dissection and restores distal flow.
Why the study?
Traumatic coronary artery dissection is an uncommon cause of acute myocardial infarction and presents challenges for acute revascularization.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
May support deferred bare metal stenting in traumatic LAD dissection with polytrauma; hypothesis-generating and leaves open need for prospective validation.
Traumatic coronary artery dissection is an uncommon cause of acute myocardial infarction (AMI). We report a case of blunt chest trauma resulting from a motorcycle collision causing ostial dissection of the left anterior descending (LAD) artery in a 31-year-old previously healthy male. The patient also suffered from compound comminuted fractures of the humerus and ulna and severe liver laceration, which hampered both percutaneous and surgical acute revasularization. After a stormy hospital course, a bare metal stent was implanted to seal the LAD artery dissection. The patient was discharged in a stable condition and was followed-up for rehabilitation. This case report underscores the multidisciplinary approach in facing challenges encountered after rare sequelae of chest trauma.
No takes yet. Share an insight, caveat, or question.
Al-Aqeedi et al. (2011) conducted a case report in Acute myocardial infarction secondary to traumatic coronary artery dissection (n=1). Deferred angioplasty with bare metal stent implantation was evaluated on Successful sealing of the dissection and maintenance of normal distal flow. Deferred angioplasty with bare metal stent implantation successfully sealed a traumatic left anterior descending artery dissection and restored normal distal flow in a patient with severe concomitant injuries.
Synapse has enriched 10 related papers. Consider them for comparative context: