Acute myocardial infarction after trauma: potency of percutaneous coronary intervention with transcatheter arterial embolization

Sasaki, Tetsu; Temmoku, Jumpei; Inukai, Tomoya; Sugiyama, Takuya; Inokuchi, Ryota; Shinohara, Kazuhiko

doi:10.1016/j.ajem.2015.11.032

Cited by 4 publications

(3 citation statements)

References 1 publication

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“…7,8 Acute ST-elevation myocardial infarction is a very rare complication of blunt chest trauma. [9][10][11] The LAD is the most frequently impacted coronary artery compared with other coronary arteries, such as the left circumflex and right coronary arteries. 12 Patients with traumatic IMH often present with nonspecific signs and symptoms of cardiac and coronary injuries, including chest pain, dyspnea, and signs of myocardial ischemia or infarction.…”

Section: Discussionmentioning

confidence: 99%

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Coronary artery intramural hematoma causing myocardial infarction mimicking pseudoaneurysm or dissection from trauma: A case report

Albriek,

Alamri,

Hamad

et al. 2024

Clinical Case Reports

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Key Clinical MessageBlunt chest trauma caused ST‐segment elevation myocardial infarction. Diagnosis of intramural hematoma (IMH) using computed tomography was confirmed using electrocardiography, cardiac marker tests, and subsequent coronary angiography. After conservative treatment, the hematoma was completely resolved 1 year later. Differentiating IMH from other arterial injuries is critical for appropriate management.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Acute ST‐elevation myocardial infarction is a very rare complication of blunt chest trauma 9–11 . The LAD is the most frequently impacted coronary artery compared with other coronary arteries, such as the left circumflex and right coronary arteries 12 .…”

Section: Discussionmentioning

confidence: 99%

Coronary artery intramural hematoma causing myocardial infarction mimicking pseudoaneurysm or dissection from trauma: A case report

Albriek,

Alamri,

Hamad

et al. 2024

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…[6] Coronary artery injuries resulting in myocardial infarction and ischemia are extremely rare after blunt chest trauma. [7][8][9] The LAD artery is the most commonly af- fected vessel (71.4%), followed by the right coronary (19%), LM coronary (6.4%), and LCX (3.2%) arteries. [10] Significant delays (up to seven days) between blunt chest trauma and coronary artery dissection have been reported.…”

Section: Discussionmentioning

confidence: 99%

Extension of a coronary intramural hematoma after blunt chest trauma

Park¹,

Min

Ryu³

et al. 2018

Ulus Travma Acil Cerrahi Derg

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Coronary artery dissection and intramural hematoma after blunt chest trauma are rare, but life-threatening, complications. Coronary intramural hematoma extension is even rarer. A 31-year-old man was transferred to our hospital for worsening left chest pain during while he was admitted at a nearby hospital due to blunt chest trauma. Bedside echocardiography showed akinesis of the left ventricular apex and anterior wall as well as hypokinesis of the mid-to-basal anteroseptal wall and mid-to-basal lateral and posterior walls of the left ventricle. Computed tomography coronary angiography revealed intramural hematoma in the left main (LM) coronary and proximal left anterior descending (LAD) arteries. Percutaneous coronary intervention, with bare metal stent implantation from the LM coronary artery to the proximal LAD artery, was performed to treat the occlusion caused by the hematoma. After stenting, the hematoma that compressed the LM coronary artery shifted the left circumflex (LCX) artery, and the intramural hematoma developed and extended to the LCX artery. To resolve this occlusion, a drug-eluting stent was successfully implanted in the LCX artery. The patient was discharged without complications. At 2-month follow-up, he remained asymptomatic, with no recurrence of cardiovascular symptoms. Delayed chest pain after trauma should be suspected during coronary dissection, and on treatment, care must be taken to extend the hematoma.

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Trauma-induced acute myocardial infarction due to delayed dissection of the left anterior descending coronary artery

Wilczyńska-Golonka

Rostoff

Siniarski

et al. 2017

The American Journal of Emergency Medicine

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Acute myocardial infarction after trauma: potency of percutaneous coronary intervention with transcatheter arterial embolization

Cited by 4 publications

References 1 publication

Coronary artery intramural hematoma causing myocardial infarction mimicking pseudoaneurysm or dissection from trauma: A case report

Coronary artery intramural hematoma causing myocardial infarction mimicking pseudoaneurysm or dissection from trauma: A case report

Extension of a coronary intramural hematoma after blunt chest trauma

Trauma-induced acute myocardial infarction due to delayed dissection of the left anterior descending coronary artery

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