Sato Yuichi, Matsumoto Naoya, Komatsu Sei, Matsuo Shinro, Kunimasa Taeko, Yoda Shunichi, Ichikawa Makoto, Kasamaki Yuji, Takahashi Motoichiro, Uchiyama Takahisa, Saito Satoshi
Int J Cardiol. 2007 May 16;118(1):108-10. doi: 10.1016/j.ijcard.2006.05.075. Epub 2006 Aug 7.
Coronary artery dissection after blunt chest trauma has rarely been reported in traumatic cardiac injuries, but it may cause fatal or nonfatal myocardial infarction. We report a case of dissection of the left main coronary artery, which resulted in acute myocardial infarction 5 weeks after blunt chest trauma. Multidetector-row computed tomography performed prior to the onset of infarction depicted intimal flap and dissected cavities.
钝性胸部创伤后冠状动脉夹层在创伤性心脏损伤中鲜有报道,但可能导致致命或非致命性心肌梗死。我们报告一例左主干冠状动脉夹层病例,该病例在钝性胸部创伤5周后导致急性心肌梗死。梗死发作前进行的多排螺旋计算机断层扫描显示了内膜瓣和夹层腔。