https://scholars.lib.ntu.edu.tw/handle/123456789/355047| Title: | Coronary artery dissection in a patient with traumatic femoral shaft fracture | Authors: | HUI-HSUN HUANG CHI-HSIANG HUANG SHOU-ZEN FAN FENG-FANG TSAI PEI-LIN LIN |
Keywords: | coronary vessels: dissecting; myocardial ischemia; thoracic injuries: blunt | Issue Date: | 2010 | Journal Volume: | 48 | Journal Issue: | 4 | Start page/Pages: | 191-193 | Source: | Acta Anaesthesiologica Taiwanica | Abstract: | We report a 24-year-old man who developed postoperative pulmonary edema and desaturation, after open reduction with internal fixation for left femoral shaft fracture sustained in a motorcycle accident. Cardiac catheterization revealed a left anterior descending coronary artery dissection. Review of his present history, showed that he neither had chest discomfort nor suffered from hemodynamic decompensation preoperatively. Only the abnormal 12-lead ECG with moderate tachycardia was suggestive of myocardial ischemia. Coronary artery dissection, although uncommon, is a disastrous complication following blunt chest trauma, and needs thorough preoperative evaluation to exclude its occurrence. Copyright ? 2010, Taiwan Society of Anesthesiologists. Published by Elsevier Taiwan LLC. All rights reserved. |
URI: | http://www.scopus.com/inward/record.url?eid=2-s2.0-78650917880&partnerID=MN8TOARS http://scholars.lib.ntu.edu.tw/handle/123456789/355047 |
DOI: | 10.1016/j.aat.2010.12.007 | SDG/Keyword: | aspartate aminotransferase; bilirubin; cisatracurium; creatine kinase; fentanyl; hemoglobin; liver enzyme; morphine; sevoflurane; thiopental; adult; analgesia; angiocardiography; article; bleeding; blood pressure; blood transfusion; case report; coronary artery dissection; crystalloid; dissection; electrocardiogram; endotracheal intubation; erythrocyte concentrate; fatty acid desaturation; femur shaft fracture; heart catheterization; heart muscle ischemia; heart rate; human; left anterior descending coronary artery; lung edema; male; mandible fracture; occult blood; open reduction; osteosynthesis; postoperative complication; preoperative evaluation; sputum examination; tachycardia; thorax radiography; traffic accident; traumatic femoral shaft fracture; urine volume; Accidents, Traffic; Aneurysm, Dissecting; Coronary Aneurysm; Femoral Fractures; Humans; Male; Postoperative Complications; Thoracic Injuries; Wounds, Nonpenetrating; Young Adult [SDGs]SDG3 |
| Appears in Collections: | 醫學院附設醫院 (臺大醫院) |
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