LEFT ANTERIOR DESCENDING CORONARY ARTERY DISSECTION AFTER BLUNT CHEST TRAUMA (CASE REPORT)

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SADR AMELI MOHAMMAD ALI; AMIRI ELAHEH; POURALIAKBAR HAMIDREZA; HEIDARALI MONA

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Journal: ARCHIVES OF IRANIAN MEDICINE Year:2014 | Volume:17 | Issue:1 Page(s): 86-90

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Title

LEFT ANTERIOR DESCENDING CORONARY ARTERY DISSECTION AFTER BLUNT CHEST TRAUMA (CASE REPORT)

Author(s)

SADR AMELI MOHAMMAD ALI | AMIRI ELAHEH | POURALIAKBAR HAMIDREZA | HEIDARALI MONA | Issue Writer Certificate

Keywords

BLUNT CHEST TRAUMA

CORONARY ANGIOGRAPHY

CORONARY DISSECTION

LAD

MYOCARDIAL INFARCTION

Abstract

Coronary artery dissection is a well-known albeit unusual complication of BLUNT CHEST TRAUMA. It is also an uncommon cause of MYOCARDIAL INFARCTION. Only a few such cases have been reported, probably due to the high rate of sudden death. We report a case of left anterior descending (LAD) coronary artery dissection in a healthy 38-year-old female caused by BLUNT CHEST TRAUMA. The patient was referred to our hospital with a complaint of chest pain. Electrocardiography showed T-wave inversion, echocardiography a revealed circumferential pericardial effusion, and the coronary angiogram demonstrated a thrombotic dissection of the LAD. Troponin I was the only biomarker with elevated level. CT CORONARY ANGIOGRAPHY was performed using the subtotal occlusion of the LAD and illustrated a relatively good LAD run-off, and thallium scintigraphy displayed viable myocardium in this territory. Despite the total occlusion of the LAD in our case, myocardial injury was not significant due to the relatively good LAD run-off. She underwent coronary artery bypass graft surgery with an excellent result.

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APA: Copy

SADR AMELI, MOHAMMAD ALI, AMIRI, ELAHEH, POURALIAKBAR, HAMIDREZA, & HEIDARALI, MONA. (2014). LEFT ANTERIOR DESCENDING CORONARY ARTERY DISSECTION AFTER BLUNT CHEST TRAUMA (CASE REPORT). ARCHIVES OF IRANIAN MEDICINE, 17(1), 86-90. SID. https://sid.ir/paper/280875/en

Vancouver: Copy

SADR AMELI MOHAMMAD ALI, AMIRI ELAHEH, POURALIAKBAR HAMIDREZA, HEIDARALI MONA. LEFT ANTERIOR DESCENDING CORONARY ARTERY DISSECTION AFTER BLUNT CHEST TRAUMA (CASE REPORT). ARCHIVES OF IRANIAN MEDICINE[Internet]. 2014;17(1):86-90. Available from: https://sid.ir/paper/280875/en

IEEE: Copy

MOHAMMAD ALI SADR AMELI, ELAHEH AMIRI, HAMIDREZA POURALIAKBAR, and MONA HEIDARALI, “LEFT ANTERIOR DESCENDING CORONARY ARTERY DISSECTION AFTER BLUNT CHEST TRAUMA (CASE REPORT),” ARCHIVES OF IRANIAN MEDICINE, vol. 17, no. 1, pp. 86–90, 2014, [Online]. Available: https://sid.ir/paper/280875/en

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