Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma

Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma

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We report the case of a 41-year-old male with traumatic coronary artery dissection after a high-speed motor vehicle collision.Computed tomography imaging revealed multiple intracranial subdural and subarachnoid bleedings, a skull base fracture and multiple bilateral rib here fractures.There was no pericardial hemorrhage, haemothorax or pneumothorax.No transpharm online shopping intra-abdominal lesions were found.

A 12-lead electrocardiogram on arrival showed an acute myocardial infarction.Emergency angiography showed complete dissection of the right coronary artery without reflow after placement of 6 coronary stents.The patient passed away the day after.In retrospective, the right coronary dissection was visible on the trauma CT-scan.