A Case of Acute Inferior Wall Myocardial Infarction and Coronary Artery Fistula Secondary to Blunt Chest Trauma
Korean Circulation Journal
;
: 107-112, 1997.
Artigo
em Coreano
| WPRIM
| ID: wpr-173732
ABSTRACT
Blunt trauma to the chest may result in various cardiac injuries. But traumatic myocardial infarction with coronary artery fistula as a complication of chest trauma has been reported in very few cases. The etiology of myocardial infarction is not entirely clear. A 40 years old male was admitted after a traffic accident. He complained of acute retrosternal pain of about one hours duration. There was an area of contusion over the right sternal border. The ECQ showed deep Q wave and elevated ST segments in leads 2, 3 and aVF. There was a considerable increase in creatine kinase(CK) peak level and a CK-MB fraction. Coronary angiography revealed a total proximal occlusion of the right coronary that communicated directly with the right atrium. The left ventridulogram showed hypokinesia of the inferior wall. He was managed with conservative treatments and has remained well sebsequently. We reported a middle aged man who developed an acute transmural inferior wall myocardial infarction associated with coronary artery fistula secondary to blunt cheat trauma in an automobile accident.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Automóveis
/
Tórax
/
Acidentes de Trânsito
/
Angiografia Coronária
/
Hipocinesia
/
Contusões
/
Vasos Coronários
/
Creatina
/
Infarto Miocárdico de Parede Inferior
/
Fístula
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Korean Circulation Journal
Ano de publicação:
1997
Tipo de documento:
Artigo
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