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Coronary artery occlusion following blunt chest trauma: a case report and review of the literature

Published online by Cambridge University Press:  21 May 2015

Gregory T. Guldner  and
Thomas D. Schilling
Gregory T. Guldner*
Affiliation:
Department of Emergency Medicine, Loma Linda University Medical Center, Loma Linda, Calif.
Thomas D. Schilling
Affiliation:
Loma Linda University School of Medicine, Loma Linda, Calif.
*
Loma Linda University Medical Center, Department of Emergency Medicine, 11234 Anderson St., Rm. A108, PO Box 2000, Loma Linda CA 92354, gregguldner@jfmilne.com

Abstract

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Blunt chest trauma causing coronary artery occlusion and myocardial infarction is a rare but potentially fatal condition. We present the case of a healthy 29-year-old man who developed a myocardial infarction due to complete occlusion of the proximal right coronary artery following blunt chest trauma. A review of the literature found 63 cases of previously healthy patients under 40 years of age who developed coronary artery occlusion following blunt chest trauma; diagnosis in all cases had been proven by angiography or during autopsy. The presentation, results of electrocardiography and echocardiography and laboratory findings of these patients are described.

Keywords

myocardial infarctioncoronary arterychest paintrauma
Type
Case Report • Observations de cas
Information
Canadian Journal of Emergency Medicine , Volume 7 , Issue 2 , March 2005 , pp. 118 - 123
Copyright
Copyright © Canadian Association of Emergency Physicians 2005

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