Left anterior descending artery dissection: a rare sequela of blunt chest trauma.
coronary artery dissection
optical coherence tomography
percutaneous coronary intervention
trauma
Journal
Internal medicine journal
ISSN: 1445-5994
Titre abrégé: Intern Med J
Pays: Australia
ID NLM: 101092952
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
12
05
2019
revised:
21
07
2019
accepted:
06
08
2019
entrez:
14
7
2020
pubmed:
14
7
2020
medline:
28
4
2021
Statut:
ppublish
Résumé
Traumatic coronary artery (CA) dissection is an extremely rare sequela of blunt chest trauma. Diagnosis of CA dissection in the setting of chest trauma is challenging. While conventionally coronary angiography has been the diagnostic tool of choice, modern imaging techniques such as optical coherence tomography can further improve diagnostic accuracy and help optimise treatment strategy. The ideal treatment modality for managing CA dissection has not been established with case reports revealing a range of treatment strategies ranging from CA bypass grafting to a completely conservative management. Here we present a case report of a 68-year-old man who suffered a traumatic proximal left anterior descending artery dissection as a consequence of a motor-vehicle accident and was subsequently treated with a combination of conservative and interventional strategy with optimal patient outcome.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
880-882Informations de copyright
© 2020 Royal Australasian College of Physicians.
Références
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