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- Ankit Maheshwari, Thenappan Thenappan, and Gladwin Das.
- University of Minnesota, Department of Medicine, Cardiovascular Division, Minneapolis, MN, United States. Electronic address: mahes046@umn.edu.
- Am J Emerg Med. 2017 Jul 1; 35 (7): 1041.e51041.e61041.e5-1041.e6.
AbstractA 21year-old male presented to the emergency department with 6 h of atypical chest pain after suffering blunt chest trauma. His electrocardiogram revealed 1-1.5mm 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.Copyright © 2017 Elsevier Inc. All rights reserved.
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