Left main coronary dissection after mild chest trauma. Favorable evolution with fibrinolytic and surgical therapies

J Boland; R Limet; G Trotteur; V Legrand; H Kulbertus

doi:10.1378/chest.93.1.213

Left main coronary dissection after mild chest trauma. Favorable evolution with fibrinolytic and surgical therapies

Chest. 1988 Jan;93(1):213-4. doi: 10.1378/chest.93.1.213.

Authors

J Boland¹, R Limet, G Trotteur, V Legrand, H Kulbertus

Affiliation

¹ Hopital de la Citadelle et Hopital de Baviere, C.H.U., Liège, Belgium.

PMID: 3257183
DOI: 10.1378/chest.93.1.213

Abstract

A 32-year-old woman had acute anterior myocardial infarction after a mild chest trauma (automobile accident). Unstable angina recurred shortly after admission, and extensive dissection of the left coronary artery was demonstrated. Medical therapy including systemic fibrinolysis was started but clinical stabilization and good long-term result was achieved only by aortocoronary bypass grafting.

Publication types

Case Reports

MeSH terms

Accidents, Traffic
Adult
Aortic Dissection / diagnostic imaging
Aortic Dissection / etiology*
Aortic Dissection / surgery
Coronary Aneurysm / diagnostic imaging
Coronary Aneurysm / etiology*
Coronary Aneurysm / surgery
Coronary Angiography
Coronary Artery Bypass
Female
Humans
Myocardial Infarction / etiology
Thoracic Injuries / complications*
Wounds, Nonpenetrating / complications*