Blunt cardiac injury presenting as a left-sided coronary artery dissection.
Blunt cardiac injury presenting as a left-sided coronary artery dissection.
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DOI：
10.1093/jscr/rjac008
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发表时间：
2022-03
影响因子：
0.5
通讯作者：
Principe DR
中科院分区：
文献类型：
--
作者：
Park A;Principe DR
胸部创伤后钝性心脏损伤 (BCIs) 的表现多种多样，通常影响右侧心室。在极少数情况下，脑机接口会影响冠状动脉。诊断创伤性冠状动脉夹层可能具有挑战性，因为不仅表现形式高度可变，而且夹层常常被伴随的损伤所掩盖。在此，我们介绍一名因车祸造成胸部钝性损伤而被送往急诊室的患者的不寻常病例。他在心电图上显示弥漫性 S 波和 T 波段抬高，冠状动脉造影对左心前降支动脉闭塞和第二钝角边缘动脉狭窄具有重要意义。该患者被诊断患有导致左侧冠状动脉夹层的脑机接口（BCI）。这提醒我们，脑机接口可以出现在心脏解剖结构的任何部位，任何有胸部外伤史的患者都应该考虑脑机接口。
The presentation of blunt cardiac injuries (BCIs) following thoracic trauma is extremely varied, classically affecting the right-sided chambers of the heart. In extremely rare cases, BCIs can affect the coronary arteries. Diagnosing a traumatic coronary dissection can be challenging, as not only is presentation highly variable, but dissections are often masked by concomitant injuries. Here, we present the unusual case of a patient presenting to the emergency department following blunt thoracic trauma from an automobile accident. He demonstrated diffuse S and T wave segment elevations on electrocardiogram, and coronary angiography was significant for occlusion of the apical left anterior descending artery and stenosis of the second obtuse marginal artery. The patient was diagnosed with a BCI causing a left-sided coronary artery dissection. This serves as an important reminder that BCIs can manifest in any part of the cardiac anatomy, and should be considered in any patient with a history of thoracic trauma.