Coronary artery dissection in a patient with traumatic femoral shaft fracture
Journal
Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists
Journal Volume
48
Journal Issue
4
Date Issued
2010-12
Author(s)
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.
Subjects
coronary vessels: dissecting | myocardial ischemia | thoracic injuries: blunt
SDGs
Type
journal article