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Year : 2011  |  Volume : 12  |  Issue : 2  |  Page : 71-73

A blunt chest trauma causing left anterior descending artery dissection and acute myocardial infarction treated by deferred angioplasty

Department of Cardiology and Cardiovascular Surgery, Hamad Medical Corporation, Doha, Qatar

Correspondence Address:
Rafid Fayadh Al-Aqeedi
Department of Cardiology and Cardiovascular Surgery, Hamad Medical Corporation, P.O. Box 3050, Doha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1995-705X.86018

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Traumatic coronary artery dissection is an uncommon cause of acute myocardial infarction (AMI). We report a case of blunt chest trauma resulting from a motorcycle collision causing ostial dissection of the left anterior descending (LAD) artery in a 31-year-old previously healthy male. The patient also suffered from compound comminuted fractures of the humerus and ulna and severe liver laceration, which hampered both percutaneous and surgical acute revasularization. After a stormy hospital course, a bare metal stent was implanted to seal the LAD artery dissection. The patient was discharged in a stable condition and was followed-up for rehabilitation. This case report underscores the multidisciplinary approach in facing challenges encountered after rare sequelae of chest trauma.

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