Right Coronary Artery STEMI following Blunt Thoracic Trauma

被引:1
|
作者
Sikanderkhel, Saad [1 ]
Ash, Jon-Austin [2 ]
O'Dell, Kimberly [2 ]
Mok, Jacob [2 ]
Manyam, Harish [1 ]
Golding, John [3 ]
机构
[1] Univ Tennessee, Coll Med Chattanooga, Dept Cardiovasc Med, Chattanooga, TN USA
[2] Univ Tennessee, Coll Med Chattanooga, Dept Internal Med, Chattanooga, TN 37403 USA
[3] Erlanger Baroness Hosp, Heart & Lung Inst, Chattanooga, TN USA
关键词
MYOCARDIAL-INFARCTION; CHEST TRAUMA;
D O I
10.1155/2021/5598524
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present a case report of an otherwise healthy 37-year-old male without pertinent cardiac history or risk factors, who presented with cardiac trauma after a motor vehicle collision (MVC). Initial workup including electrocardiogram (ECG), transthoracic echocardiogram (TTE), and uptrending serial troponins warranted coronary angiography, during which occlusive thrombi were discovered in the proximal right coronary artery (pRCA), the right posterolateral vessel (rPL), and the right posterior descending artery (PDA). Subsequently, the patient underwent percutaneous coronary intervention of the RCA and PDA with aspiration thrombectomy. He was then initiated on dual antiplatelet therapy (DAPT) and recovered appropriately. This case is presented with the goal of enlightening the academic community of a rare complication while presenting a judicious approach to management in an attempt to decrease the occurrence of "near misses" in the future.
引用
收藏
页数:4
相关论文
共 50 条
  • [21] Imaging of blunt pediatric thoracic trauma
    Vyas K.P.
    Sivit C.J.
    Emergency Radiology, 1997, 4 (1) : 16 - 25
  • [22] Pneumomediastinum and pneumopericardium following blunt thoracic trauma: much ado about nothing?
    David James Jackson Muckart
    Timothy Craig Hardcastle
    David Lee Skinner
    European Journal of Trauma and Emergency Surgery, 2019, 45 : 927 - 931
  • [23] Pneumomediastinum and pneumopericardium following blunt thoracic trauma: much ado about nothing?
    Muckart, David James Jackson
    Hardcastle, Timothy Craig
    Skinner, David Lee
    EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY, 2019, 45 (05) : 927 - 931
  • [24] Adding fuel to the fire: Coronary artery dissection complicating blunt chest trauma
    Maheshwari, Ankit
    Thenappan, Thenappan
    Das, Gladwin
    AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2017, 35 (07): : 1041.e5 - 1041.e6
  • [25] Left Anterior Descending Coronary Artery Dissection after Blunt Chest Trauma
    Sadr-Ameli, Mohammad Ali
    Amiri, Elaheh
    Pouraliakbar, Hamidreza
    Heidarali, Mona
    ARCHIVES OF IRANIAN MEDICINE, 2014, 17 (01) : 86 - 90
  • [26] Predicting outcomes in the setting of blunt thoracic trauma
    Barlow, Meade
    Prince, Jose M.
    JOURNAL OF SURGICAL RESEARCH, 2013, 183 (01) : 100 - 101
  • [27] Pneumopericardium Resulting From Blunt Thoracic Trauma
    Anand, Rohan
    Brooks, Steven E.
    Puckett, Yana
    Richmond, Robyn E.
    Ronaghan, Catherine A.
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2020, 12 (11)
  • [28] Factors affecting mortality in blunt thoracic trauma
    Hasbahceci, Mustafa
    Ozpek, Adnan
    Basak, Fatih
    Caliskan, Mujgan
    Ener, Behcet Kemal
    Alimoglu, Orhan
    ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY, 2013, 19 (02): : 127 - 132
  • [29] A comparison of thoracic CT and abdominal CT for the identification of thoracic blunt trauma
    Pinette, William
    Barrios, Cristobal
    Pham, Jacqueline
    Kong, Allen
    Dolich, Matthew
    Lekawa, Michael
    AMERICAN JOURNAL OF SURGERY, 2012, 204 (06): : 927 - 931
  • [30] Traumatic Pulmonary Pseudocysts in a Young Dog Following Non-penetrating Blunt Thoracic Trauma
    Mulholland, Natosha
    Keir, Iain
    FRONTIERS IN VETERINARY SCIENCE, 2019, 6