Abstract
Myocardial infarction (MI) following blunt chest trauma is rare, but potentially fatal.
We treated a young patient for acute MI after falling chest-first on ice while playing
hockey. Coronary artery bypass grafting (CABG) was performed after percutaneous stenting
attempts were unsuccessful. By reviewing the related literature, we found 179 cases,
the majority of which affected young males following road accidents. Left anterior
descending artery was most frequently affected followed by right coronary artery particularly
in their proximal thirds. Prior to the advent of emergent angioplasty for MI, conservative
management was frequently pursued, whereas subsequently both stenting and CABG were
performed as initial therapy. Several cases required CABG after the failure of stenting
attempts. Trauma-associated MI is uncommon but should be suspected to be properly
diagnosed and managed; the potential need for CABG requires that a cardiac surgeon
be informed at the time of angiography to avoid possible delay in revascularization.
Key Indexing Terms
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Article info
Publication history
Published online: January 03, 2017
Accepted:
December 12,
2016
Received:
November 18,
2016
Footnotes
☆Conflict of interest: Dr. Takla is on speakers׳ bureau for AstraZeneca and Janssen; all other authors declared no conflict of interests.
Identification
Copyright
© 2016 Southern Society for Clinical Investigation. Published by All rights reserved.
