Blunt traumatic dissection of right coronary artery presenting with acute inferior wall myocardial infarction: Dilemma in management

Indian Heart J. 2016 Sep;68 Suppl 2(Suppl 2):S276-S279. doi: 10.1016/j.ihj.2016.07.022. Epub 2016 Jul 30.

Abstract

Thirty-nine year male had a history of road traffic accident with polytrauma. At emergency room he started having chest pain with ventricular tachycardia. He was subsequentially diagnosed with right coronary artery dissection secondary to blunt trauma which is an extremely rare cause of inferior wall myocardial infarction. After some dilemmas, he was ultimately treated with intravascular ultrasound guided coronary angioplasty with stenting and had an uneventful recovery.

Keywords: Angioplasty; IVUS; IWMI; RCA; Traumatic dissection.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angioplasty, Balloon, Coronary / methods
  • Aortic Dissection / complications*
  • Aortic Dissection / diagnosis
  • Aortic Dissection / surgery
  • Coronary Aneurysm / complications*
  • Coronary Aneurysm / diagnosis
  • Coronary Aneurysm / surgery
  • Coronary Angiography
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / injuries*
  • Diagnosis, Differential
  • Disease Management*
  • Electrocardiography
  • Humans
  • Inferior Wall Myocardial Infarction / diagnosis
  • Inferior Wall Myocardial Infarction / etiology*
  • Male
  • Stents
  • Thoracic Injuries / complications*
  • Thoracic Injuries / diagnosis
  • Ultrasonography, Interventional
  • Wounds, Nonpenetrating / complications*
  • Wounds, Nonpenetrating / diagnosis