Traumatische Koronararteriendissektion nach stumpfem Thoraxtrauma – Fallbericht

Abstract

We present a case of cardiac infarction after blunt chest trauma. The 49-year-old patient suffered from severe angina and the ECG demonstrated a pattern of acute anterior wall myocardial infarction. Acute coronary angiography was performed showing complete occlusion of the left interventricular coronary artery due to dissection. An attempted revascularization by percutaneous transluminal coronary angioplasty failed and the patient was then submitted to bypass surgery. We conclude that possible heart injury should be considered in patients with blunt chest trauma to lead them to adequate therapy.