Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-28T04:48:14.892Z Has data issue: false hasContentIssue false
  • English
  • Français

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  and
Thomas D. Schilling
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

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

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.

Keywords

myocardial infarctioncoronary arterychest paintrauma
Type
Case Report • Observations de cas
Information
Canadian Journal of Emergency Medicine , Volume 7 , Issue 2 , March 2005 , pp. 118 - 123
Copyright
Copyright © Canadian Association of Emergency Physicians 2005

References

1.Anto, MJ, Cokinos, SG, Jonas, E.Acute anterior wall myocardial infarction secondary to blunt chest trauma. Angiology 1984; 35(12):802–4.Google Scholar
2.Atalar, E, Acil, T, Aytemir, K, Ozer, N, Ovunc, K, Aksoyek, S, et al. Acute anterior myocardial infarction following a mild non-penetrating chest trauma. Angiology 2001;52(4):279–82.Google Scholar
3.Banzo, I, Montero, A, Uriarte, I, Vallina, N, Hernandez, A, Guede, C, et al.Coronary artery occlusion and myocardial infarction: a seldom encountered complication of blunt chest trauma. Clin Nucl Med 1999;24(2):94–6.Google Scholar
4.Bennett, MR, West, JNW, Pentecost, BL.Fatal myocardial infarction in hypertrophic cardiomyopathy associated with non-penetrating chest trauma. Int J Cardiol 1991;33(2):317–9.Google Scholar
5.Bjorn-Hansen, LS, Thomassen, AR, Nielsen, TT.Aneurysm of the left anterior descending coronary artery after chest trauma. Eur Heart J 1989;10(2):177–9.Google Scholar
6.Blessing, E, Wolpers, HG, Hausmann, D, Mugge, A, Amende, I.Posttraumatic myocardial infarction with severe coronary intimal dissection documented by intravascular ultrasound. J Am Soc Echocardiogr 1996;9(6):906–8.Google Scholar
7.Boland, J, Limet, R, Trotteur, G, Legrand, V, Kulbertus, H.Left main coronary dissection after mild chest trauma. Favorable evolution with fibrinolytic and surgical therapies. Chest 1988;93(1):213–4.Google Scholar
8.Candell, J, Valle, V, Paya, J, Cortadellas, J, Esplugas, E, Ruis, J.Post-traumatic coronary occlusion and early left ventricular aneurysm. Am Heart J 1979;97(4):509–12.Google Scholar
9.Cherng, W, Bullard, MJ, Chang, H, Lin, F.Diagnosis of coronary artery dissection following blunt chest trauma by trans-esophageal echocardiography. J Trauma 1995;39(4):772–4.Google Scholar
10.Chun, JH, Lee, SC, Gwon, HC, Lee, SH, Hong, KP, Seo, JD, et al.Left main coronary artery dissection after blunt chest trauma presented as acute anterior myocardial infarction: assessment by intravascular ultrasound. J Korean Med Sci 1998;13(3):325–7.Google Scholar
11.Espinosa, R, Baduli, E, Castano, R, Madrid, R.Acute posteroinferior wall myocardial infarction secondary to football chesttrauma. Chest 1985;88(6):928–30.CrossRefGoogle Scholar
12.Esplugas, E, Barthe, JE, Sabate, J, Fontanillas, C.Obstruction of aortocoronary bypass due to blunt chest trauma. Internat J Cardiol 1983;3(3):311–4.Google Scholar
13.Fang, BR, Li, CT.Acute myocardial infarction following blunt chest trauma. Eur Heart J 1994;15(5):705–7.CrossRefGoogle ScholarPubMed
14.Fu, M, Wu, CJ, Hsieh, MJ.Coronary dissection and myocardial infarction following blunt chest trauma. J Formos Med Assoc 1999;98(2):136–40.Google Scholar
15.Gallego, FG, Marti, JS, Blasco, PP.Myocardial infarction and subtotal obstruction of the anterior descending coronary artery caused by trauma in a football player. Int J Cardiol 1986;12(1):109–12.CrossRefGoogle Scholar
16.Gaspard, P, Clermont, A, Villard, J, Amiel, M.Non-iatrogenic trauma of the coronary arteries and myocardium: contribution of angiography – report of six cases and literature review. Cardiovasc Intervent Radiol 1983;6(1):20–9.CrossRefGoogle ScholarPubMed
17.Gillebert, Th, Van De Werf, F, Piessens, J, De Geest, H.Post-traumatic infarction due to blunt chest trauma. Acta Cardiologica 1980;35(6):445–53.Google Scholar
18.Ginzburg, E, Dygert, J, Parra-Davila, E, Lynn, M, Almeida, J, Mayor, M.Coronary artery stenting for occlusive dissection after blunt chest trauma. J Trauma 1998;45(1):157–61.CrossRefGoogle ScholarPubMed
19.Goktekin, O, Unalir, A, Gorenek, B.Traumatic total occlusion of left main coronary artery caused by blunt chest trauma. J Invasive Cardiol 2002;14(8):463–5.Google Scholar
20.Grady, AE, Cowley, MJ, Vetrovec, GW.Traumatic dissecting coronary arterial aneurysm with subsequent complete healing. Am J Cardiol 1985;55(11):1424–5.CrossRefGoogle ScholarPubMed
21.Greenberg, J, Salinger, M, Weschler, F, Edelman, B, Williams, R.Circumflex coronary artery dissection following waterskiing. Chest 1997;113(4):1138–40.Google Scholar
22.Gustavsson, CG, Albrechtsson, U, Forsling, K, Stahl, E, White, T.A case of right coronary artery occlusion, caused by blunt chest trauma and treated with acute coronary artery bypass surgery. Eur Heart J 1992;13(1):133–6.Google Scholar
23.Jensen, S, Kristensen, IB, Kristensen, BO.Lethal myocardial infarction subsequent to compression of the left anterior descending coronary artery induced by traumatic hematoma. Int J Legal Med 1992;105(2):121–2.Google Scholar
24.Kahn, JK, Buda, AJ.Long-term follow-up of coronary artery occlusion secondary to blunt chest trauma. Am Heart J 1987;113(1):207–10.CrossRefGoogle ScholarPubMed
25.Kohli, S, Saperia, GM, Waksmonski, CA, Pezzella, S, Singh, JB.Coronary artery dissection secondary to blunt chest trauma. Cathet Cardiovas Diag 1988;15(3):179–83.Google Scholar
26.Lascault, G, Komajda, M, Drobinski, G, Grosgogeat, Y.Left coronary artery aneurysm and anteroseptal acute myocardial infarction following blunt chest trauma. Eur Heart J 1986;7(6):538–40.Google Scholar
27.Lau, OJ, Shabbo, FP, Smyllie, J.Acute left anterior descending coronary artery occlusion following blunt chest injury. Injury 1984;16(1):55–6.Google Scholar
28.Lee, HY, Ju, YM, Lee, MH.A case of post-traumatic coronary occlusion. Korean J Intern Med 1991;6(1):33–7.CrossRefGoogle ScholarPubMed
29.Lijoi, A, Tallone, M, Parodi, E, Dottori, V, Passerone, GC, Rovere, FD, et al.Coronary occlusion secondary to blunt chest trauma: a first attempt at balloon angioplasty. Texas Heart Inst J 1992;19(4):291–3.Google ScholarPubMed
30.MacDonald, D.Repeated and fatal coronary thrombosis in a young man. JAMA 1941;115(26):2846–8.Google Scholar
31.Mairesse, GH, Timmermans, P.Post traumatic myocardial infarction. Acta Clin Belg 1993;48(2):128–31.Google Scholar
32.Malangoni, MA, McHenry, CR, Jacobs, DG.Outcome of serious blunt cardiac injury. Surger. 1994;116(4):628–33.Google ScholarPubMed
33.Marik, PE.Coronary artery dissection after a rugby injury. A case report. S Afr Med J 1990;77(11):586–7.Google Scholar
34.Masuda, T, Akiyama, H, Kurosawa, T, Ohwada, T.Long-term follow-up of coronary artery dissection due to blunt chest trauma with spontaneous healing in a young woman. Inten Care Med 1996;22(5):450–2.Google Scholar
35.Meluzin, J, Groch, L, Toman, J, Hornacek, I, Fischerova, B.Rupture of the coronary artery after blunt nonpenetrating chest wall trauma detected by color Doppler echocardiography: a case report. J Am Soc Echocardiogr 2000;13(11):1043–6.CrossRefGoogle ScholarPubMed
36.Moore, JE.Acute apical myocardial infarction after blunt chest trauma incurred during a basketball game. J Am Board Fam Pract 2001;14(3):219–22.Google ScholarPubMed
37.Neiman, J, Hui, WK.Posteromedial papillary muscle rupture as a result of right coronary artery occlusion after blunt chest injury. Am Heart J 1992;123(6):1694–9.CrossRefGoogle ScholarPubMed
38.Oliva, PB, Hilgenberg, A, McElroy, D.Obstruction of the proximal right coronary artery with acute inferior infarction due to blunt chest trauma. Ann Int Med 1979;91(2):205–7.CrossRefGoogle ScholarPubMed
39.O’Neill, S, Walker, F, O’Dwyer, WF.Blunt chest trauma causing myocardial infarction – an unusual football injury. Irish Med J 1981;74(5):138.Google ScholarPubMed
40.Orbe, LC, Gallego, FG, Sobrino, N, Sotillo, J, Lopez-Sendon, JL, Oliver, J, et al.Acute myocardial infarction after blunt chest trauma in young people: need for prompt intervention. Catheter Cardiovasc Diagn 1991;24(3):182–5.Google Scholar
41.Oren, A, Bar-Shlomo, B, Stern, S.Acute coronary occlusion following blunt injury to the chest in the absence of coronary atherosclerosis. Am Heart J 1976;92(4):501–5.Google Scholar
42.Pande, AK, Hajar, HA.Chest trauma causing acute myocardial infarction. J Assoc Physicians India 2001;49:1111–3.Google Scholar
43.Park, WS, Jeong, MH, Hong, YJ, Park, OY, Kim, JH, Kim, W, et al.A case of acute myocardial infarction after blunt chest trauma in a young man. J Korean Med Sci 2003;18(6):889–93.Google Scholar
44.Pretre, R, Kursteiner, K, Khatchatourian, G, Faidutti, B.Traumatic occlusion of the left anterior descending artery and rupture of the aortic isthmus. J Trauma 1995;39(1):388–90.Google Scholar
45.Pringle, SD, Davidson, KG.Myocardial infarction caused by coronary artery damage from blunt chest injury. Br Heart J 1987;57(4):375–6.CrossRefGoogle ScholarPubMed
46.Salmi, A, Blank, M, Slomski, C.Left anterior descending artery occlusion after blunt chest trauma. J Trauma 1996;40(5):832–4.Google Scholar
47.Shapiro, MJ, Wittgen, C, Flynn, MS, Zuckerman, DA, Durham, RM, Mazuski, JE.Right coronary artery occlusion secondary to blunt trauma. Clin Cardiol 1994;17(3):157–9.Google Scholar
48.Sigmund, M, Nase-Huppmeier, S, Uebis, R, Hanrath, P.Emergency PTCA for coronary artery occlusion after blunt chest trauma. Am Heart J 1990;119(6):1408–10.Google Scholar
49.Sinha, AK, Agrawal, RK, Singh, A, Kumar, R, Kumar, S, Sinha, A, et al.Acute myocardial infarction due to blunt chest trauma. Indian Heart J 2002;54(6):713–4.Google Scholar
50.Stern, T, Wolf, RY, Reichart, B, Harrington, OB, Crosby, G.Coronary artery occlusion resulting from blunt trauma. JAMA 1974;230(9):1308–9.CrossRefGoogle ScholarPubMed
51.Stone, DL, Fleming, HA.Aneurysm of left ventricle and left coronary artery after non-penetrating chest trauma. Br Heart J 1983;50(5):495–7.Google Scholar
52.Unterberg, C, Buchwald, A, Wiegand, V.Traumatic thrombosis of the left main coronary artery and myocardial infarction caused by blunt chest trauma. Clin Cardiol 1989;12(11):672–4.CrossRefGoogle ScholarPubMed
53.Vlay, SC, Blumenthal, DS, Shoback, D, Fehir, K, Bulkley, BH.Delayed acute myocardial infarction after blunt chest trauma in a young woman. Am Heart J 1980;100(6):907–16.Google Scholar
54.Voyce, SJ, Ball, SP, Gore, JM, Shine, WJ, Weiner, BH.Angiographically documented thrombotic coronary artery occlusion secondary to mild nonpenetrating thoracic trauma. Catheter Cardiovasc Diagn 1991;24(3):179–81.CrossRefGoogle ScholarPubMed
55.Wainwright, RJ, Edwards, AC, Miasley, MN, Sowton, E.Early occlusion and late stricture of normal coronary arteries following blunt chest trauma. Chest 1980;78(5):796–8.Google Scholar
56.Wang, S, Shyong, W, Tsai, J, Chang, M, Chiang, B.Development of posttraumatic coronary aneurysm: clinical implications. Am Heart J 1988;115(6):1306–7.Google Scholar
57.Watt, AH, Stephens, MR.Myocardial infarction after blunt chest trauma incurred during rugby football that later required cardiac transplantation. Br Heart J 1986;55(4):408–10.Google Scholar
58.Westaby, S, Drossos, G, Giannopoulos, N.Posttraumatic coronary artery aneurysm. Ann Thoracic Surg 1995;60(3):712–3.Google Scholar
59.Berk, WA.ECG findings in non-penetrating chest trauma: a review. Emerg Med 1987;5(3):209–15.Google Scholar
60.Tsoukas, A, Andreades, A, Zacharogiannis, C.Myocardial contusion presented as acute myocardial infarction after chest trauma. Echocardiography 2001;18(2):167–70.Google Scholar