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Case Reports in Cardiology
Volume 2016, Article ID 8671015, 4 pages
http://dx.doi.org/10.1155/2016/8671015
Case Report

Coronary Thrombosis without Dissection following Blunt Trauma

1Division of Cardiovascular Disease, Saint Luke’s University Health Network, Bethlehem, PA 18015, USA
2Department of Emergency Medicine, Saint Luke’s University Health Network, Bethlehem, PA 18015, USA
3Department of Trauma Surgery, Saint Luke’s University Health Network, Bethlehem, PA 18015, USA

Received 14 November 2015; Accepted 2 February 2016

Academic Editor: Manabu Shirotani

Copyright © 2016 Archana Sinha et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Blunt trauma to the chest resulting in coronary thrombosis and ST elevation myocardial infarction (STEMI) is a rare but well-described occurrence in adults. Angiography in such cases has generally disclosed complete epicardial coronary occlusion with thrombus, indistinguishable from the findings commonly found in spontaneous plaque rupture due to atherosclerotic disease. In all previously reported cases in which coronary interrogation with intravascular ultrasound (IVUS) was performed in association with acute revascularization, coronary artery dissection was implicated as the etiology of coronary thrombosis. We present the first case report of blunt trauma-associated coronary thrombosis without underlying atherosclerosis or coronary dissection, as documented by IVUS imaging.