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Emerg Med J 2006;23:e67 doi:10.1136/emj.2006.041426
  • Emergency casebook

Blunt traumatic dissection of the proximal left anterior descending artery

  1. D Leong,
  2. M Brown
  1. Cardiovascular Investigation Unit, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia, Australia
  1. Correspondence to:
 D Leong
 Cardiovascular Investigation Unit, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia; dleong{at}mail.rah.sa.gov.au
  • Accepted 4 September 2006

Abstract

Coronary artery dissection secondary to blunt chest trauma is a rare occurrence recently reported in the Emergency Medicine Journal. The case here is reported of a left anterior descending artery dissection after blunt chest trauma to illustrate a different, more precipitous presentation of this condition after severe trauma. This case report highlights how clinical history can alert to the presence of this complication and how electrocardiography is fundamental to risk stratification after trauma, and discusses management alternatives for this condition in the setting of multi-trauma.

Footnotes

  • Competing interests: None declared.

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