https://scholars.lib.ntu.edu.tw/handle/123456789/637742
標題: | Coronary artery dissection in a patient with traumatic femoral shaft fracture | 作者: | Huang, Yueh-Ping FENG-FANG TSAI CHI-HSIANG HUANG HUI-HSUN HUANG SHOU-ZEN FAN PEI-LIN LIN |
關鍵字: | coronary vessels: dissecting | myocardial ischemia | thoracic injuries: blunt | 公開日期: | 十二月-2010 | 卷: | 48 | 期: | 4 | 來源出版物: | Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists | 摘要: | 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. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/637742 | ISSN: | 18754597 | DOI: | 10.1016/j.aat.2010.12.007 |
顯示於: | 醫學系 |
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