A case of acute myocardial infarction after blunt chest trauma in a young man

被引:7
作者
Park, WS
Jeong, MH
Hong, YJ
Park, OY
Kim, JH
Kim, W
Ahn, YK
Cho, JG
Park, JC
Ahn, BH
Kim, SH
Kang, JC
机构
[1] Chonnam Natl Univ Hosp, Ctr Heart, Gwanju 501575, South Korea
[2] Chonnam Natl Univ, Res Inst Med Sci, Gwangju, South Korea
关键词
myocardial infarction; angioplasty; stents; wounds; nonpenetrating;
D O I
10.3346/jkms.2003.18.6.889
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary artery injury rarely occurs after blunt chest trauma, but it can lead to extensive myocardial infarction and be frequently overlooked. A 16-yr-old man was presented with comatose mental state and rapid respiration rate. He ran into guard rail while riding a motorcycle. In routine examination, his electrocardiogram showed Q wave and 2 mm ST segment elevation in all precordial leads, I and aVL. The cardiac enzymes were also elevated: creatine kinase (CK)-MB was 300 U/L, and cardiac specific troponin I was 5.7 ng/mL. Two-dimensional echocardiography showed anteroseptal akinesia with severely depressed left ventricular function, ejection fraction of 28%. He could not receive any anticoagulation or thrombolytic therapy because of his brain lesion. Three weeks later, his mental state improved. A diagnostic coronary angiogram revealed total occlusion in the proximal left anterior descending artery (LAD) with collaterals from the right coronary artery and left circumflex artery. We successfully performed a percutaneous coronary intervention for the LAD lesion, and the final angiogram showed a good coronary flow without residual stenosis.
引用
收藏
页码:889 / 893
页数:5
相关论文
共 20 条
[11]   ACUTE ANTERIOR WALL MYOCARDIAL-INFARCTION SECONDARY TO BLUNT CHEST TRAUMA - A CASE-REPORT [J].
LEE, DW ;
GARNIC, JD ;
BARLOW, GC .
ANGIOLOGY, 1990, 41 (01) :82-84
[12]   Acute myocardial infarction caused by blunt chest trauma: Successful treatment by direct coronary angioplasty [J].
Marcum, JL ;
Booth, DC ;
Sapin, PM .
AMERICAN HEART JOURNAL, 1996, 132 (06) :1275-1277
[13]   Myocardial infarction as a complication of injury [J].
Moosikasuwan, JB ;
Thomas, JM ;
Buchman, TG .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2000, 190 (06) :665-670
[14]   POSTEROMEDIAL PAPILLARY-MUSCLE RUPTURE AS A RESULT OF RIGHT CORONARY-ARTERY OCCLUSION AFTER BLUNT CHEST INJURY [J].
NEIMAN, J ;
HUI, WKK .
AMERICAN HEART JOURNAL, 1992, 123 (06) :1694-1699
[15]  
Noguchi T, 2000, CATHETER CARDIO INTE, V49, P258, DOI 10.1002/(SICI)1522-726X(200003)49:3<258::AID-CCD7>3.3.CO
[16]  
2-C
[17]   ACUTE MYOCARDIAL-INFARCTION AFTER BLUNT CHEST TRAUMA IN YOUNG-PEOPLE - NEED FOR PROMPT INTERVENTION [J].
ORBE, LC ;
GALLEGO, FG ;
SOBRINO, N ;
SOTILLO, J ;
LOPEZSENDON, JL ;
OLIVER, J ;
COMA, I ;
FRUTOS, A ;
SOBRINO, JA ;
NAVARRO, JM .
CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS, 1991, 24 (03) :182-185
[18]   Left anterior descending artery occlusion after blunt chest trauma [J].
Salmi, A ;
Blank, M ;
Slomski, C .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1996, 40 (05) :832-834
[19]   Procedural outcomes and long-term survival among patients undergoing percutaneous coronary intervention of a chronic total occlusion in native coronary arteries: A 20-year experience [J].
Suero, JA ;
Marso, SP ;
Jones, PG ;
Laster, SB ;
Huber, KC ;
Giorgi, LV ;
Johnson, WL ;
Rutherford, BD .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 38 (02) :409-414
[20]  
Tengler ML, 1985, J TRAUMA, V25, P620