• Hippokratia · Jul 2015

    Case Reports

    Dissection of the right coronary artery following blunt cardiac injury.

    • I Vogiatzis and I Dapcevic.
    • Department of Cardiology, General Hospital of Veroia, Veroia, Greece.
    • Hippokratia. 2015 Jul 1; 19 (3): 278-80.

    BackgroundCoronary artery dissection is a rare complication of blunt thoracic trauma which can become rapidly lethal necessitating prompt diagnosis and treatment. Most reported cases of coronary artery injury, including dissection, involve the left anterior descending coronary artery, given its anatomical location in relation to the impact.Description Of CaseA 72-year-old male, who was involved in a vehicular accident, sustained blunt thoracic trauma which resulted in isolated right coronary artery dissection and acute myocardial infarction. The culprit lesion was found in coronary angiography in the proximal right coronary artery and was successfully repaired with percutaneous coronary intervention and one drug-eluting stent placement.ConclusionTraumatic dissection of coronary arteries must be suspected in blunt thoracic trauma. It can be treated with interventional management and results in a fairly good prognosis. Hippokratia 2015; 19 (3): 278-280.

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