Bilateral coronary dissection after blunt thoracic trauma: a case report

Can J Cardiol. 2012 Jul-Aug;28(4):515.e1-2. doi: 10.1016/j.cjca.2011.12.002. Epub 2012 Feb 9.

Abstract

We describe a case of a 43-year-old male who had blunt chest trauma in a previous traffic accident. He presented shortness of breath and palpitation on mild exertion 1 month later. Echocardiography showed dilated left atrium and ventricular with reduced left ventricular ejection fraction. Coronary angiography revealed a dissection of the left anterior descending coronary artery with impaired blood flow and diffuse dissection from proximal to mid right coronary artery. To our knowledge, this is the first case presenting cardiac insufficiency secondary to bilateral coronary artery dissection after blunt trauma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angioplasty, Balloon, Coronary
  • Aortic Dissection / diagnosis*
  • Aortic Dissection / therapy
  • Coronary Aneurysm / diagnosis*
  • Coronary Aneurysm / therapy
  • Coronary Angiography
  • Coronary Vessels / injuries*
  • Drug-Eluting Stents
  • Echocardiography
  • Heart Injuries / complications*
  • Heart Injuries / diagnosis
  • Heart Injuries / therapy
  • Humans
  • Male
  • Ventricular Dysfunction, Left / diagnosis
  • Ventricular Dysfunction, Left / therapy
  • Wounds, Nonpenetrating / complications*
  • Wounds, Nonpenetrating / diagnosis
  • Wounds, Nonpenetrating / therapy