Poyet R, Capilla E, Kerebel S, Brocq F X, Pons F, Jego C, Cellarier G R
Department of Cardiology, Sainte Anne Hospital, Boulevard Sainte Anne, 83000 Toulon, France.
J Emerg Trauma Shock. 2015 Apr-Jun;8(2):110-1. doi: 10.4103/0974-2700.155513.
Coronary artery (CA) dissection following blunt chest trauma is a life-threatening and rare event. Its occurrence in the setting of a contact sport like rugby is even less common. We report on two cases of young adult presenting with segment elevation myocardial infarction related to CA dissection following rugby game. Both were successfully treated with stent implantation. We discuss the mechanism, diagnosis, and optimal management of blunt chest trauma-induced CA dissection.
钝性胸部创伤后冠状动脉夹层是一种危及生命的罕见事件。其在橄榄球等接触性运动中发生的情况更为少见。我们报告两例年轻成人在橄榄球比赛后出现与冠状动脉夹层相关的ST段抬高型心肌梗死的病例。两例均通过支架植入成功治疗。我们讨论钝性胸部创伤所致冠状动脉夹层的机制、诊断及最佳处理方法。