A case of traumatic thrombosis of the right coronary artery is reported following a fall from a height. Most documented cases have occurred in atherosclerotic vessels. Differentiation from non-traumatic occlusion with or without myocardial infarction may be extremely difficult particularly if there is a long period of survival following the injury.
Get full access to this article
View all access options for this article.
References
1.
CandellJ.ValleV.PayaJ.CortadellasJ.EsplugasE.RiusJ. (1979) Post-traumatic occlusion and early left ventricular aneurysm. Am. Heart J.97, 509–12.
2.
JoklE.GreensteinJ. (1944) Case report of fatal coronary sclerosis in a boy of 10 years. Lancet2, 659.
3.
JonesJ. W.HewittR. L.DrapanasT. (1975) Cardiac contusion: A capricious syndrome. Ann. Surg.181, 567–74.
4.
LauO. J.ShabboF. P.SmyllieJ. (1984) Acute left anterior desceening coronary artery occlusion following blunt chest injury. Injury16, 55–6.
5.
LehmusH. J.SundquistA. B.GiddingsL. W. (1954) Coronary thrombosis with myocardial infarction secondary to nonpenetrating injury of the chest wall. Am. Heart J.47, 470–73.
6.
MackintoshA. F.FlemingH. A. (1981) Cardiac damage presenting late after road accidents. Thorax36, 811–13.
7.
MoritzA. R.AtkinsJ. P. (1938) Cardiac contusions: An experimental and physiological study. Arch. Path.25, 445–62.
8.
OlivaP. B.HilgenbergA.McElroyD. (1979) Obstruction of the proximal right coronary artery with acute inferior infarction due to blunt chest trauma. Ann. Intern. Med.91, 205–7.
9.
OrenA.Bar-ShlomoB.SternS. (1976) Acute coronary occlusion following blunt injury to the chest in the absence of coronary atherosclerosis. Am. Heart J.92, 501–5.
10.
ParmleyL. F.ManionW. C.MattinglyT. W. (1958) Nonpenetrating traumatic injury of the heart. Circulation18, 371–96.