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A case of right coronary artery occlusion, caused by blunt chest trauma and treated with acute coronary artery bypass surgery

Gustavsson, C G LU ; Albrechtsson, U LU ; Forslind, K LU ; Ståhl, E LU and White, T (1992) In European Heart Journal 13(1). p.133-136
Abstract

A 37-year-old man sustained occlusion of the right coronary artery after a bicycle accident with blunt chest trauma over the left scapula. Acute coronary angiography was performed because of chest pain and ST-segment elevation. Despite surgically successful acute revascularization the patient developed a transmural inferior wall infarction. Coronary artery occlusion after blunt chest trauma is rare, especially occlusion of the right coronary artery. When it occurs, the impact is usually frontal (car accidents), and not dorsal as in this case. Coronary artery bypass surgery has been reported in a few cases but to the best of our knowledge this is the first report of bypass surgery at the stage of acute transmural ischaemia.

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author
; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adult, Bicycling/injuries, Constriction, Pathologic/etiology, Coronary Angiography, Coronary Artery Bypass, Coronary Disease/diagnosis, Electrocardiography, Humans, Male, Thoracic Injuries/complications, Wounds, Nonpenetrating/complications
in
European Heart Journal
volume
13
issue
1
pages
133 - 136
publisher
Oxford University Press
external identifiers
  • scopus:0026556629
  • pmid:1577020
ISSN
0195-668X
DOI
10.1093/oxfordjournals.eurheartj.a060033
language
English
LU publication?
no
id
0abcf72e-7f30-4db8-8967-7170dd7fa979
date added to LUP
2019-09-02 15:46:02
date last changed
2024-01-01 18:29:45
@article{0abcf72e-7f30-4db8-8967-7170dd7fa979,
  abstract     = {{<p>A 37-year-old man sustained occlusion of the right coronary artery after a bicycle accident with blunt chest trauma over the left scapula. Acute coronary angiography was performed because of chest pain and ST-segment elevation. Despite surgically successful acute revascularization the patient developed a transmural inferior wall infarction. Coronary artery occlusion after blunt chest trauma is rare, especially occlusion of the right coronary artery. When it occurs, the impact is usually frontal (car accidents), and not dorsal as in this case. Coronary artery bypass surgery has been reported in a few cases but to the best of our knowledge this is the first report of bypass surgery at the stage of acute transmural ischaemia.</p>}},
  author       = {{Gustavsson, C G and Albrechtsson, U and Forslind, K and Ståhl, E and White, T}},
  issn         = {{0195-668X}},
  keywords     = {{Adult; Bicycling/injuries; Constriction, Pathologic/etiology; Coronary Angiography; Coronary Artery Bypass; Coronary Disease/diagnosis; Electrocardiography; Humans; Male; Thoracic Injuries/complications; Wounds, Nonpenetrating/complications}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{133--136}},
  publisher    = {{Oxford University Press}},
  series       = {{European Heart Journal}},
  title        = {{A case of right coronary artery occlusion, caused by blunt chest trauma and treated with acute coronary artery bypass surgery}},
  url          = {{http://dx.doi.org/10.1093/oxfordjournals.eurheartj.a060033}},
  doi          = {{10.1093/oxfordjournals.eurheartj.a060033}},
  volume       = {{13}},
  year         = {{1992}},
}