Aneurisma de arteria coronaria e infarto agudo de miocardio secundario a traumatismo torácico

Árbol Linde, F.; Merlo González, V.; Moreu Burgos, J.; Contreras Rosino, C.; Liétor Villajos, A.; Hernández Lanchas, C.

doi:10.1016/S0210-5691(00)79603-3

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ISSN: 0210-5691

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El aneurisma coronario secundario a traumatismo torácico no penetrante es extremadamente raro. Describimos el caso de un varón de 29 años que sufrió un infarto agudo de miocardio (IAM) traumático asintomático tras accidente de tráfico. El electrocardiograma (ECG) mostró un IAM antero-lateral transmural y la coronariografía demostró la existencia de un aneurisma sacular postraumático de la arteria coronaria descendente anterior. En los pacientes con traumatismo torácico y cambios ECG y enzimáticos sugestivos de IAM puede estar indicado realizar una angiografía coronaria para descartar un aneurisma coronario.

Palabras clave:

traumatismo torácico

infarto agudo de miocardio

aneurisma coronario

Coronary artery aneurysm occurring after a nonpenetrating chest trauma is extremely rare. We describe the case of a 29 year old man who had an assymptomatic traumatic myocardial infarction after a motor vehicle crash. The electrocardiogram (ECG) showed an acute transmural antero-lateral myocardial infarction (AMI). Coronary angiography disclosed a posttraumatic sacular aneurysm of the anterior descending coronary artery. In patients with chest trauma and with ECG and enzimatic changes suggesting AMI coronary angiography may be needed to rule out a coronary aneurysm.

Key words:

Chest trauma

acute myocardial infarction

coronary aneurysm

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Bibliografía

[1.]

L.S. Björn-Hansen, A.R. Thomanssen, T.T. Nielsen.

Aneurysm of the left anterior descending coronary artery after chest trauma.

Eur Heart J, 10 (1989), pp. 177-179

Medline

[2.]