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Coronary artery occlusion following blunt chest trauma: a case report and review of the literature

Published online by Cambridge University Press:  21 May 2015

Gregory T. Guldner*
Affiliation:
Department of Emergency Medicine, Loma Linda University Medical Center, Loma Linda, Calif.
Thomas D. Schilling
Affiliation:
Loma Linda University School of Medicine, Loma Linda, Calif.
*
Loma Linda University Medical Center, Department of Emergency Medicine, 11234 Anderson St., Rm. A108, PO Box 2000, Loma Linda CA 92354, [email protected]

Abstract

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Blunt chest trauma causing coronary artery occlusion and myocardial infarction is a rare but potentially fatal condition. We present the case of a healthy 29-year-old man who developed a myocardial infarction due to complete occlusion of the proximal right coronary artery following blunt chest trauma. A review of the literature found 63 cases of previously healthy patients under 40 years of age who developed coronary artery occlusion following blunt chest trauma; diagnosis in all cases had been proven by angiography or during autopsy. The presentation, results of electrocardiography and echocardiography and laboratory findings of these patients are described.

Type
Case Report • Observations de cas
Copyright
Copyright © Canadian Association of Emergency Physicians 2005

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