Myocardial infarction and subtotal obstruction of the anterior descending coronary artery caused by trauma in a football player.

A 26-year-old professional football player had a myocardial infarction when he was practicing his sport. He arrived at the hospital 1 hour later. Angiographic study showed critical stenosis and distal thrombosis in the anterior descending coronary artery. Intracoronary thrombolytic and vasodilator therapy followed by dilatation angioplasty resolved these coronary obstructions. We conclude that several factors contributed to the origin of myocardial infarction in this case including a complicated atheromatous plaque, formation of thrombus and coronary spasm.