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Abstract

Coronary artery occlusion following a blunt trauma is a rare complication. We report a case of a 56-year-old man who experienced an intermediate code trauma following a motor vehicle accident. The patient had a visible ‘seat-belt sign’ and complained of chest pain. Initial electrocardiogram showed mild ST segment elevation accompanied by elevation of cardiac enzymes. Echocardiogram and cardiac magnetic resonance imaging were consistent with right ventricular systolic dysfunction. Coronary angiogram revealed 100% occlusion of proximal right ventricular marginal branch. The patient was managed medically. This case presents a rare case of right ventricular marginal occlusion following blunt chest trauma.

Keywords

Blunt force trauma cardiac coronary artery occlusion

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References

Christensen

Nielsen

Sleight

. Prior blunt chest trauma may be a cause of single vessel coronary disease; hypothesis and review. Int J Cardiol 2006; 108: 1–5.

Schultz

Trunkey

. Blunt cardiac injury. Crit Care Clin 2004; 20: 57–70.

Mattox

Flint

Carrico

. Blunt cardiac injury [comment]. J Trauma Inj Infect Crit Care 1992; 33: 649–650.

Guo

Chi

Yuan

. Acute myocardial infarction caused by blunt chest trauma: a case report. Int J Cardiol 2011; 149: e80–e81.

Foussas

Athanasopoulos

Cokkinos

. Myocardial infarction caused by blunt chest injury: possible mechanisms involved—case reports. Angiology 1989; 40(4 Pt 1): 313–318.

Maenza

Seaberg

D’Amico

. A meta-analysis of blunt cardiac trauma: ending myocardial confusion. Am J Emerg Med 1996; 14: 237–241.

Salim

Velmahos

Jindal

. Clinically significant blunt cardiac trauma: role of serum troponin levels combined with electrocardiographic findings. J Trauma Inj Infect Crit Care 2001; 50: 237–243.

Karalis

Victor

Davis

. The role of echocardiography in blunt chest trauma: a transthoracic and transesophageal echocardiographic study. J Trauma Inj Infect Crit Care 1994; 36: 53–58.

Garcia-Fernandez

Lopez-Perez

Perez-Castellano

. Role of transesophageal echocardiography in the assessment of patients with blunt chest trauma: correlation of echocardiographic findings with the electrocardiogram and creatine kinase monoclonal antibody measurements. Am Heart J 1998; 135: 476–481.

10.

Kotsovolis

Aidoni

Geka

. Occlusion of the right coronary artery after blunt thoracic trauma with fatal outcome: a case report and review of the literature. Hippokratia 2013; 17: 274–276.

Right ventricular marginal branch occlusion after blunt force trauma to the chest

Abstract

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References