A Case of Acute Inferior Wall Myocardial Infarction and Coronary Artery Fistula Secondary to Blunt Chest Trauma.
10.4070/kcj.1997.27.1.107
- Author:
Sung Woo PARK
;
Bong Min KO
;
Kwang Hee LEE
;
Chul Hyun KIM
;
Tae Myoung CHOI
;
Sung Woo LEE
;
Sung Koo KIM
;
Young Joo KWON
- Publication Type:Case Report
- Keywords:
Myocardial infarction;
Coronary artery fistula;
Chest trauma
- MeSH:
Accidents, Traffic;
Adult;
Automobiles;
Contusions;
Coronary Angiography;
Coronary Vessels*;
Creatine;
Fistula*;
Heart Atria;
Humans;
Hypokinesia;
Inferior Wall Myocardial Infarction*;
Male;
Middle Aged;
Myocardial Infarction;
Thorax*
- From:Korean Circulation Journal
1997;27(1):107-112
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Blunt trauma to the chest may result in various cardiac injuries. But traumatic myocardial infarction with coronary artery fistula as a complication of chest trauma has been reported in very few cases. The etiology of myocardial infarction is not entirely clear. A 40 years old male was admitted after a traffic accident. He complained of acute retrosternal pain of about one hours duration. There was an area of contusion over the right sternal border. The ECQ showed deep Q wave and elevated ST segments in leads 2, 3 and aVF. There was a considerable increase in creatine kinase(CK) peak level and a CK-MB fraction. Coronary angiography revealed a total proximal occlusion of the right coronary that communicated directly with the right atrium. The left ventridulogram showed hypokinesia of the inferior wall. He was managed with conservative treatments and has remained well sebsequently. We reported a middle aged man who developed an acute transmural inferior wall myocardial infarction associated with coronary artery fistula secondary to blunt cheat trauma in an automobile accident.
