Abstract
A 21 year-old male presented to the emergency department with 6 h of atypical chest pain after suffering blunt chest trauma. His electrocardiogram revealed 1–1.5 mm ST segment elevation in leads V1-V3 with reciprocal depressions in II, III, and aVF. Mid-anterior wall akinesis was observed on echocardiography associated with an estimated left ventricular ejection fraction of 40%. A left main coronary artery dissection was diagnosed and treated surgically with a bypass graft. Although rare, coronary dissections can be a catastrophic complication of chest trauma.
Original language | English (US) |
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Pages (from-to) | 1041.e5-1041.e6 |
Journal | American Journal of Emergency Medicine |
Volume | 35 |
Issue number | 7 |
DOIs | |
State | Published - Jul 2017 |
Keywords
- Chest trauma
- Coronary dissection