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Case Reports
. 2011 Apr;12(2):71-3.
doi: 10.4103/1995-705X.86018.

A blunt chest trauma causing left anterior descending artery dissection and acute myocardial infarction treated by deferred angioplasty

Rafid Fayadh Al-Aqeedi  1 , Waleed Muhsin Ali, Fuad Al-Ani, Yassir S Abdulrahman, Abdulrahman Alnabti
Affiliations
Case Reports

A blunt chest trauma causing left anterior descending artery dissection and acute myocardial infarction treated by deferred angioplasty

Rafid Fayadh Al-Aqeedi et al. Heart Views. 2011 Apr.

Abstract

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.

Keywords: Acute myocardial infarction; blunt chest trauma; dissection; left anterior descending artery; percutaneous coronary intervention.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
An electrocardiogram obtained in the emergency room showed normal sinus rhythm with 3-mm ST-segment elevation in leads I, aVL and V1-2
Figure 2
Figure 2
(a) Coronary angiogram revealing a subtotal ostial occlusion and filling defect with clot in the mid segment of the left anterior descending coronary artery (arrow). (b) Post angioplasty and stent angiogram
See this image and copyright information in PMC

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