Multivessel Traumatic Coronary Artery Dissection After a Motor Vehicle Accident With Successful Percutaneous Coronary Intervention

Yagya Pandey; Brittany Owen; Gilad Birnbaum; Rashed Tabbaa; Ihab Hamzeh; Nasser Lakkis; Waleed Kayani

doi:10.1016/j.jaccas.2020.09.021

Multivessel Traumatic Coronary Artery Dissection After a Motor Vehicle Accident With Successful Percutaneous Coronary Intervention

JACC Case Rep. 2020 Nov 4;2(15):2295-2298. doi: 10.1016/j.jaccas.2020.09.021. eCollection 2020 Dec.

Authors

Yagya Pandey¹, Brittany Owen¹, Gilad Birnbaum¹, Rashed Tabbaa¹, Ihab Hamzeh¹, Nasser Lakkis¹, Waleed Kayani¹

Affiliation

¹ Baylor College of Medicine, Ben Taub General Hospital, Houston, Texas, USA.

Abstract

Coronary artery dissection is a rare complication of blunt chest wall trauma. We report a case of acute left anterior descending and right coronary artery dissections after a motor vehicle accident. The musculoskeletal injuries obscured the cardiac symptoms. Electrocardiogram and bedside echocardiogram revealed cardiac pathology, which prompted urgent coronary angiography and intervention. (Level of Difficulty: Advanced.).

Keywords: CT, computed tomography; ECG, electrocardiogram; LAD, left anterior descending coronary artery; RCA, right coronary artery; TIMI, Thrombolysis In Myocardial Infarction; acute coronary syndrome; coronary angiography; dissection.

Publication types

Case Reports