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

Al-Aqeedi, Rafid Fayadh; Ali, Waleed; Al-Ani, Fuad; Abdulrahman, Yassir; Alnabti, Abdulrahman

doi:10.4103/1995-705x.86018

Cited by 9 publications

(7 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The patient could have some coronary dissection or compression from previous trauma to the chest in light of a high-impact sport such as football. This has been documented in patients involved in motor vehicle accidents with blunt trauma to the chest 3–5. Perhaps there is a bridging of coronary vessels within actual myocardial tissue that becomes compressed during activity.…”

Section: Introductionmentioning

confidence: 94%

“…This has been documented in patients involved in motor vehicle accidents with blunt trauma to the chest. 3 – 5 Perhaps there is a bridging of coronary vessels within actual myocardial tissue that becomes compressed during activity. Maybe there is an anomalous origin of the coronary arteries, resulting in chronic intermittent ischemia and leading to scarring and death with typical chest pain symptoms.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Recurrent myocardial infarctions in a young football player secondary to thrombophilia, associated with elevated factor VIII activity

Vacek¹,

Yu²,

Rehman³

et al. 2014

IMCRJ

View full text Add to dashboard Cite

Myocardial infarction (MI) due to coronary atherosclerosis in young adults is uncommon; rare causes such as cocaine abuse, arterial dissection, and thromboembolism should be considered. A 21-year-old football player, and otherwise healthy African American man, developed chest pain during exercise while bench-pressing 400 lbs. Acute MI was diagnosed based on physical examination, electrocardiography findings, and elevated cardiac enzymes. Coronary arteriography showed a thrombus occluding the proximal left anterior descending artery (LAD). Aggressive antiplatelet therapy with aspirin, clopidogrel, and eptifibatide was pursued, in addition to standard post-MI care. This led to the successful resolution of symptoms and dissolution of the thrombus, demonstrated by repeat coronary arteriography. Five months later, he presented with similar symptoms during exercise after lifting heavy weights, and was found to have another acute MI. Coronary arteriography again showed a thrombus occluding the LAD. No evidence of coronary artery dissection or vasospasm was found. Only mild atherosclerotic plaque burden was observed on both occasions by intravascular ultrasound. A bare metal stent was placed at the site as it was thought this site had acted as a nidus for small plaque rupture and thrombus formation. Elevated serum factor VIII activity at 205% (reference range 60%–140%) was found, a rare cause of hypercoagulability. Further workup revealed a patent foramen ovale during a Valsalva maneuver by transesophageal echocardiography. Both events occurred during weight lifting, which can transiently increase right heart pressure in a similar way to the Valsalva maneuver. In light of all the findings, we concluded that an exercise-related increase in factor VIII activity led to coronary arterial thrombosis in the presence of a small ruptured plaque. Alternatively, venous clots may have traversed the patent foramen ovale and occluded the LAD. In addition to continuing aggressive risk factor modification, anticoagulation therapy with warfarin was initiated with close follow-up.

show abstract

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Recurrent myocardial infarctions in a young football player secondary to thrombophilia, associated with elevated factor VIII activity

Vacek¹,

Yu²,

Rehman³

et al. 2014

IMCRJ

View full text Add to dashboard Cite

show abstract

“…Tindakan PCI dengan atau tanpa stent secara signifikan terbukti dapat mengembalikan vaskularisasi arteri koroner yang mengalami oklusi dan perlu dilakukan tidak lebih dari 6 jam pada saat iskemia miokard (Al-Aqeedi, R. F., et al , 2011). Fu, Z. L., & Yao, H. C. (2013) melakukan review jurnal sebanyak 116 jurnal tentang IMA akibat trauma tumpul thorax melibatkan total 122 responden.…”

Section: Pembahasanunclassified

Literature Review : Percutaneus Coronary Intervention Sebagai Tindakan Emergensi Pada Kasus Infark Miokard Akut Akibat Trauma Tumpul Thorax

Sari

Rianto²

2020

CMSNJ

View full text Add to dashboard Cite

Latar belakang: Infark miokard akut (IMA) penyebab non aterosklerotik pada dewasa muda disebabkan oleh trauma tumpul thorak merupakan kasus yang langka, tetapi berpotensi mengancam nyawa yang harus ditangani segera pada pasien yang datang ke IGD. Percutaneus Coronary Intervention (PCI) adalah standar emas untuk diagnosis dan manajemen. Karena prognosis pasien ini terkait erat dengan diagnosis dan penatalaksanaan dini, sangat penting untuk menjaga indeks kecurigaan yang tinggi untuk Acute Coronary Syndrome (ACS) pada pasien dengan trauma tumpul thorax dan nyeri dada. Tujuan: penelitian ini bertujuan untuk menyajikan tindakan PCI pada pasien IMA disebabkan oleh trauma tumpul thorax dan untuk meninjau beberapa litelatur mengenai topik ini. Metode: penelitian ini merupakan bentuk literature review terhadap artikel dengan tema Percutaneus Coronary Intervention pada pasien infark miokard akut penyebab trauma tumpul thorax. Artikel pada penelitian ini berasal dari database elektronik Google Scholar, PubMed, Proquest, Scopus dan Science Direct dimulai tahun 2005 sampai dengan 2020. Hasil: hasil penelusuran menggunakan kata kunci Percutaneus Coronary Intervention, acute myocardial infarction, blunt chest trauma diperoleh 56 artikel. 15 artikel yang memenuhi kriteria inklusi kemudian dilakukan review terhadap full text nya. Kesimpulan: Tindakan emergensi Percutaneus Coronary Intervention efektif dilakukan dan merupakan terapi yang aman untuk kasus Infark Miokard Akut akibat trauma tumpul Thorax. Tindakan emergensi Percutaneus Coronary Intervention menjadi pilihan terbaik untuk pasien tanpa disertai dengan perdarahan pada organ lain.

show abstract

“…Cardiac injury secondary to a chest trauma is not uncommon and may lead to various symptoms, from simple arrhythmias to myocardial infarction due to coronary dissection or even fatal cardiac rupture. 1 Posttraumatic coronary dissection is a rare entity, and not many cases are reported in the literature. A possible reason for the small number of cases could be sudden death occurs in many of these patients.…”

Section: Introductionmentioning

confidence: 99%

Traumatic Coronary Dissection: Case Presentation and Literature Review

Keresztesi

Asofie

Jung

2016

Journal of Interdisciplinary Medicine

View full text Add to dashboard Cite

In posttraumatic coronary dissection, a small intimal tear occurs due to the sudden compression of the thoracic wall during the chest trauma, this being sometimes fatal. We present the case of a 56-year-old truck driver with chest trauma after a car crash. The 12-lead ECG showed signs suggestive of an acute anterior myocardial infarction, and the coronary angiography confirmed an arterial dissection of the left anterior descending coronary artery. A stent was inserted the same day, and the patient was treated accordingly. He survived for a total of three days. The autopsy and histological examination confirmed the MI and the coronary dissection. The chest trauma was linked to the patient’s death. The literature review reveals 46 cases in which the most frequent cause of chest trauma was a car or motorcycle accident; also, young male subjects were more frequently involved. Stent placement was the main course of treatment, and a delay in the onset of symptoms was also frequent.

show abstract

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

Cited by 9 publications

References 6 publications

Recurrent myocardial infarctions in a young football player secondary to thrombophilia, associated with elevated factor VIII activity

Recurrent myocardial infarctions in a young football player secondary to thrombophilia, associated with elevated factor VIII activity

Literature Review : Percutaneus Coronary Intervention Sebagai Tindakan Emergensi Pada Kasus Infark Miokard Akut Akibat Trauma Tumpul Thorax

Traumatic Coronary Dissection: Case Presentation and Literature Review

Contact Info

Product

Resources

About