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Case Reports
. 2019 Mar 29;11(3):e4345.
doi: 10.7759/cureus.4345.

A Rare Case of Traumatic Coronary Artery Dissection After a Motor Vehicle Collision

Mohamed S Elgendy  1 , Toufik Mahfood Haddad  2 , Abhilash Akinapelli  3 , Michael D White  2
Affiliations
Case Reports

A Rare Case of Traumatic Coronary Artery Dissection After a Motor Vehicle Collision

Mohamed S Elgendy et al. Cureus. .

Abstract

Coronary artery dissection is a rare and life-threatening condition. It can result in thrombus formation and coronary occlusion with subsequent acute coronary syndrome, ventricular arrhythmia, and death. Traumatic coronary artery dissection is an especially rare type of dissection and usually happens in the setting of a high-speed motor vehicle collision. Early recognition and treatment are crucial for survival in patients suffering from this pathology. We present a case of a patient who developed right coronary artery dissection following a motor vehicle collision that was subsequently managed by coronary angiogram and revascularization.

Keywords: blunt chest trauma; cardiac injury; coronary artery dissection; mi; motor vehicle collision.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. 12-lead electrocardiography (ECG) showing sinus rhythm with 2:1 AV block and ST elevation in the inferior leads with reciprocal changes.
Figure 2
Figure 2. Right coronary artery (RCA) angiography showing total occlusion and suspicious for dissection.
Figure 3
Figure 3. Right coronary artery (RCA) angiography after advancing interventional wire and showing possible dissection flap.
Figure 4
Figure 4. Right coronary artery (RCA) mid segment percutaneous coronary intervention with stent.
See this image and copyright information in PMC

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