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. 1992;19(4):291–293.

Coronary Occlusion Secondary to Blunt Chest Trauma

A First Attempt at Balloon Angioplasty

Antonio Lijoi 1, Mariano Tallone 2, Enrico Parodi 1, Vincenzo Dottori 1, Gian Carlo Passerone 1, Francesco Della Rovere 1, Giuseppe De Gaetano 1
PMCID: PMC325035  PMID: 15227457

Abstract

There have been only 58 angiographically documented reports of transmural myocardial infarction due to closed-chest trauma. None of these cases has been treated by percutaneous transluminal coronary angioplasty. We report the case of a 40-year-old man who developed an anterior-wall myocardial infarction secondary to blunt chest trauma suffered in an automobile accident. Angiographic study performed 2 months after the injury revealed an isolated total obstruction of the left anterior descending coronary artery. The patient was judged a good candidate for balloon angioplasty, but total reocclusion occurred within 24 hours of the procedure and a 2nd attempt did not restore patency. Surgical revascularization was performed a week later. A year after his injury, the patient remains asymptomatic and is back at work. Despite the failure of percutaneous transluminal coronary angioplasty in its 1st application to coronary artery repair after blunt chest trauma, we believe it to be the treatment of choice in young patients and in single-vessel disease. (Texas Heart Institute Journal 1992;19:291-3)

Keywords: Angioplasty, transluminal, percutaneous coronary

Keywords: coronary artery bypass

Keywords: coronary vessels/ injuries

Keywords: wounds, nonpenetrating

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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