Korean J Thorac Cardiovasc Surg.  2014 Aug;47(4):402-405.

Right Coronary Artery Fistula and Occlusion Causing Myocardial Infarction after Blunt Chest Trauma

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Hallym University College of Medicine, Korea. lwy1206@hallym.or.kr

Abstract

Myocardial infarction (MI) secondary to coronary artery fistula and the subsequent occlusion of the distal right coronary artery (RCA) after blunt chest trauma is a rare entity. Here, we describe a case of coronary artery fistula and occlusion with an inferior MI that occurred following blunt chest trauma. At the initial visit to the emergency room after a car accident, this patient had been undiagnosed with acute myocardial infarction, readmitted five months after ischemic insult, and revealed to have experienced MI due to RCA-right atrial fistula and occlusion of the distal RCA. He underwent coronary surgery and recovered without complications.

Keyword

Blunt chest trauma; Myocardial infarction; Coronary artery fistula

MeSH Terms

Coronary Vessels*
Emergency Service, Hospital
Fistula*
Humans
Myocardial Infarction*
Thorax*
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