RESUMO
Coronary artery injury such as acute coronary dissection is an uncommon and potentially life-threatening complication after blunt chest trauma. The authors report an unusual autopsy case of a 43-year-old healthy man who suddenly collapsed after receiving a punch to the chest during the practice of kung fu. The occurrence of the punch was supported by the presence of one recent contusion on the left lateral chest area at the external examination and by areas of hemorrhage next to the left lateral intercostal spaces at the internal examination. The histological examination revealed the presence of an acute dissection of the proximal segment of the left anterior descending coronary artery. Only few cases of coronary artery dissection have been reported due to trauma during sports activities such as rugby and soccer games, but never during the practice of martial arts, sports usually considered as safe and responsible for only minor trauma.
Assuntos
Vasos Coronários/lesões , Artes Marciais , Traumatismos Torácicos/complicações , Ferimentos não Penetrantes/complicações , Acidentes , Adulto , Contusões/etiologia , Contusões/patologia , Vasos Coronários/patologia , Evolução Fatal , Patologia Legal , Hemorragia/etiologia , Hemorragia/patologia , Humanos , Masculino , Traumatismos Torácicos/etiologia , Ferimentos não Penetrantes/etiologiaRESUMO
Subclavian artery dissection is usually associated with coexisting aortic disease. Isolated and spontaneous acute subclavian artery dissection is uncommon and rarely reported. In addition, no case of left subclavian artery dissection during pregnancy and early puerperium has been described. We report the autopsy case of a 24-year-old female who died suddenly 3 days after delivery due to a spontaneous left subclavian artery dissection with rupture.
