Right Coronary Artery STEMI following Blunt Thoracic Trauma
We present a case report of an otherwise healthy 37-year-old male without pertinent cardiac history or risk factors, who presented with cardiac trauma after a motor vehicle collision (MVC). Initial workup including electrocardiogram (ECG), transthoracic echocardiogram (TTE), and uptrending serial tr...
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Format: | Article |
Language: | English |
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Wiley
2021-01-01
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Series: | Case Reports in Cardiology |
Online Access: | http://dx.doi.org/10.1155/2021/5598524 |
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author | Saad Sikanderkhel Jon-Austin Ash Kimberly O’Dell Jacob Mok Harish Manyam John Golding |
author_facet | Saad Sikanderkhel Jon-Austin Ash Kimberly O’Dell Jacob Mok Harish Manyam John Golding |
author_sort | Saad Sikanderkhel |
collection | DOAJ |
description | We present a case report of an otherwise healthy 37-year-old male without pertinent cardiac history or risk factors, who presented with cardiac trauma after a motor vehicle collision (MVC). Initial workup including electrocardiogram (ECG), transthoracic echocardiogram (TTE), and uptrending serial troponins warranted coronary angiography, during which occlusive thrombi were discovered in the proximal right coronary artery (pRCA), the right posterolateral vessel (rPL), and the right posterior descending artery (PDA). Subsequently, the patient underwent percutaneous coronary intervention of the RCA and PDA with aspiration thrombectomy. He was then initiated on dual antiplatelet therapy (DAPT) and recovered appropriately. This case is presented with the goal of enlightening the academic community of a rare complication while presenting a judicious approach to management in an attempt to decrease the occurrence of “near misses” in the future. |
format | Article |
id | doaj-art-4054dadeae604838801ccf3c4042763d |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Cardiology |
spelling | doaj-art-4054dadeae604838801ccf3c4042763d2025-02-03T05:43:47ZengWileyCase Reports in Cardiology2090-64042090-64122021-01-01202110.1155/2021/55985245598524Right Coronary Artery STEMI following Blunt Thoracic TraumaSaad Sikanderkhel0Jon-Austin Ash1Kimberly O’Dell2Jacob Mok3Harish Manyam4John Golding5Department of Cardiovascular Medicine, University of Tennessee College of Medicine Chattanooga, USADepartment of Internal Medicine, University of Tennessee College of Medicine Chattanooga, USADepartment of Internal Medicine, University of Tennessee College of Medicine Chattanooga, USADepartment of Internal Medicine, University of Tennessee College of Medicine Chattanooga, USADepartment of Cardiovascular Medicine, University of Tennessee College of Medicine Chattanooga, USAHeart and Lung Institute, Erlanger Baroness Hospital, Chattanooga, Tennessee, USAWe present a case report of an otherwise healthy 37-year-old male without pertinent cardiac history or risk factors, who presented with cardiac trauma after a motor vehicle collision (MVC). Initial workup including electrocardiogram (ECG), transthoracic echocardiogram (TTE), and uptrending serial troponins warranted coronary angiography, during which occlusive thrombi were discovered in the proximal right coronary artery (pRCA), the right posterolateral vessel (rPL), and the right posterior descending artery (PDA). Subsequently, the patient underwent percutaneous coronary intervention of the RCA and PDA with aspiration thrombectomy. He was then initiated on dual antiplatelet therapy (DAPT) and recovered appropriately. This case is presented with the goal of enlightening the academic community of a rare complication while presenting a judicious approach to management in an attempt to decrease the occurrence of “near misses” in the future.http://dx.doi.org/10.1155/2021/5598524 |
spellingShingle | Saad Sikanderkhel Jon-Austin Ash Kimberly O’Dell Jacob Mok Harish Manyam John Golding Right Coronary Artery STEMI following Blunt Thoracic Trauma Case Reports in Cardiology |
title | Right Coronary Artery STEMI following Blunt Thoracic Trauma |
title_full | Right Coronary Artery STEMI following Blunt Thoracic Trauma |
title_fullStr | Right Coronary Artery STEMI following Blunt Thoracic Trauma |
title_full_unstemmed | Right Coronary Artery STEMI following Blunt Thoracic Trauma |
title_short | Right Coronary Artery STEMI following Blunt Thoracic Trauma |
title_sort | right coronary artery stemi following blunt thoracic trauma |
url | http://dx.doi.org/10.1155/2021/5598524 |
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