Traumatic Coronary Artery Dissection as A Potential Cause of Acute Myocardial Infraction in Motorcycle Accident: Case Report

Abstract

injuries. Pneumothorax, hemothorax, and rib fractures are commonly seen in the
emergency department. Although cardiac involvement is very rare, the probability should not
be excluded.
Case Illustration: A-31-years-old male who complained of chest pain and diaphoresis was
brought to the emergency department after a high-speed motorcycle collision. Chest X-ray
revealed no abnormality but a 12-lead Electrocardiogram (ECG) demonstrated ST-segment
elevation in lead I, AvL, V2-6, and atrial fibrillation. Because of the unusual presentation, the
decision was to proceed with percutaneous coronary intervention (PCI). Coronary
Angiography detected a thrombus at proximal LAD and spiral dissection at mid LAD (TIMI 2
Flow). After the procedure, he was transferred to the High Care Unit.
Conclusion: Following blunt chest trauma, chest pain in the setting of a vehicle collision can
be caused by dissection of the coronary artery. Prompt cardiac workup (ECG, cardiac enzyme,
and echocardiography) must be done in a highly suspected patient.