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Acute myocardial infarction secondary to blunt chest trauma in motorcycle accident: A rare combination where percutaneous coronary intervention and intravascular imaging optimization are needed
- Source :
- Catheterization and Cardiovascular Interventions. 92:E456-E460
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- Blunt chest trauma is a common occurrence in vehicle accident. Cardiac injuries following nonpenetrating thoracic trauma have been reported. ST-elevation myocardial infarction (STEMI) due to coronary artery involvement is a rare but extremely serious condition for the high risk of undetected diagnosis. Blunt thoracic trauma may obscure typical chest pain associated with cardiac ischemia especially in patients with high tolerance of pain or secondary administration of analgesic drugs. We report two consecutive cases of young adults admitted to our emergency department after motorcycle accident and concomitant anterior STEMI due to occlusion of left anterior descending artery. In both cases primary percutaneous coronary intervention with a second generation drug eluting stent implantation was successfully performed. Imaging with intravascular ultrasound and optical coherence tomography showed the mechanisms of coronary occlusion, allowing an optimal stent implantation and avoiding procedural complications in this complex setting.
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Percutaneous coronary intervention
General Medicine
Emergency department
030204 cardiovascular system & hematology
030230 surgery
medicine.disease
Chest pain
Surgery
03 medical and health sciences
0302 clinical medicine
Coronary occlusion
Drug-eluting stent
Intravascular ultrasound
Occlusion
medicine
Radiology, Nuclear Medicine and imaging
cardiovascular diseases
Myocardial infarction
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 1522726X and 15221946
- Volume :
- 92
- Database :
- OpenAIRE
- Journal :
- Catheterization and Cardiovascular Interventions
- Accession number :
- edsair.doi...........d1886163a1c695a71f41df33ed793720