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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Main Authors: Saad Sikanderkhel, Jon-Austin Ash, Kimberly O’Dell, Jacob Mok, Harish Manyam, John Golding
Format: Article
Language:English
Published: Wiley 2021-01-01
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.
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institution Kabale University
issn 2090-6404
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language English
publishDate 2021-01-01
publisher Wiley
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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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AT jonaustinash rightcoronaryarterystemifollowingbluntthoracictrauma
AT kimberlyodell rightcoronaryarterystemifollowingbluntthoracictrauma
AT jacobmok rightcoronaryarterystemifollowingbluntthoracictrauma
AT harishmanyam rightcoronaryarterystemifollowingbluntthoracictrauma
AT johngolding rightcoronaryarterystemifollowingbluntthoracictrauma