Coronary artery dissection after blunt chest trauma: Depiction at multidetector-row computed tomography

• Published in: International journal of cardiology Vol. 118; no. 1; pp. 108 - 110
• Main Authors: Sato, Yuichi, Matsumoto, Naoya, Komatsu, Sei, Matsuo, Shinro, Kunimasa, Taeko, Yoda, Shunichi, Ichikawa, Makoto, Kasamaki, Yuji, Takahashi, Motoichiro, Uchiyama, Takahisa, Saito, Satoshi
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 16.05.2007; Elsevier Science
• Subjects: Accidents, Traffic; Aneurysm, Dissecting - diagnostic imaging; Aneurysm, Dissecting - etiology; Aneurysm, Dissecting - surgery; Biological and medical sciences; Blood and lymphatic vessels; Blunt chest trauma; Cardiology. Vascular system; Cardiovascular; Coronary Aneurysm - diagnostic imaging; Coronary Aneurysm - etiology; Coronary Aneurysm - surgery; Coronary Angiography; Coronary Artery Bypass; Coronary artery dissection; Diagnosis, Differential; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Humans; Male; Medical sciences; Middle Aged; Multidetector-row computed tomography; Thoracic Injuries - etiology; Thoracic Injuries - surgery; Tomography, X-Ray Computed - methods; Wounds, Nonpenetrating - diagnostic imaging; Wounds, Nonpenetrating - etiology; Wounds, Nonpenetrating - surgery; Multidetector-row computed tomography; Blunt chest trauma; Coronary artery dissection; Radiodiagnosis; Coronary artery; Cardiovascular disease; Thorax; Phlebology; Trauma; Artery dissection; Arterial disease; Vascular disease; Dissecting aneurysm; Multidetector scanner; Medical imagery; Computerized axial tomography; Circulatory system; Cardiology
• ISSN: 0167-5273; 1874-1754
• DOI: 10.1016/j.ijcard.2006.05.075

Abstract Coronary artery dissection after blunt chest trauma has rarely been reported in traumatic cardiac injuries, but it may cause fatal or nonfatal myocardial infarction. We report a case of dissection of the left main coronary artery, which resulted in acute myocardial infarction 5 weeks after blunt chest trauma. Multidetector-row computed tomography performed prior to the onset of infarction depicted intimal flap and dissected cavities.