Oren A, Bar-Shlomo B, Stern S
Am Heart J. 1976 Oct;92(4):501-5. doi: 10.1016/s0002-8703(76)80051-8.
A 35-year-old man suffered transmural diaphragmatic wall infarction immediately after receiving a nonpenetrating trauma to his chest. During subsequent months crippling angina pectoris developed and coronary arteriography was performed. A complete obstruction of the left circumflex coronary artery was demonstrated 2 cm. distal to its origin. In contrast to most cases previously published, in this case no signs of atherosclerosis were observed in the other coronary arteries. It must be assumed, therefore, that blunt trauma can induce complete coronary occlusion with infarction, even in subjects with normal coronary arteries.
一名35岁男性在胸部受到非穿透性创伤后立即发生透壁性膈肌梗死。在随后的几个月里，出现了严重的心绞痛，并进行了冠状动脉造影。结果显示左回旋支冠状动脉在其起源处远端2厘米处完全阻塞。与之前发表的大多数病例不同，在该病例中，其他冠状动脉未观察到动脉粥样硬化的迹象。因此，必须假定，即使在冠状动脉正常的受试者中，钝性创伤也可导致冠状动脉完全闭塞并梗死。
