blunt chest trauma causing left anterior descending artery dissection and acute myocardial infarction treated by deferred angioplasty

Traumatic coronary artery dissection is an uncommon cause of acute myocardiat infarction [AMI]. We report a case of blunt chest trauma resulting from a motorcycle collision causing ostial dissection of the left anterior descending [LAD] artery in a 31-year-old previously healthy mate. The patient also suffered from compound comminuted fractures of the humerus and ulna and severe liver laceration, which hampered both percutaneous and surgical acute revasularization. After a stormy hospital course, a bare metal stent was implanted to seal the LAD artery dissection. The patient was discharged in a stable condition and was followed-up for rehabilitation. This case report underscores the multidisciplinary approach in facing challenges encountered after rare sequelae of chest trauma

Acute myocardial infarction in a young adult male associated with the use of smokeless tobacco [Sweka]

Dipping smokeless tobacco [ST] is used worldwide. We report a case of acute myocardial infarction in a young patient, who consumed smokeless tobacco [Sweka] for over one year. ST may be as harmful as smoking and carries adverse cardiac complications. A prompt call for restriction and prohibition is advised and its alternative use to quit smoking must be abandoned