Blunt Traumatic Left Anterior Descending Artery Dissection

Authors

  • Dinesh Upreti Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal https://orcid.org/0009-0007-1448-2986
  • Chandra Mani Poudel Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal
  • Hemant Shrestha Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal
  • Surya Devkota Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal
  • Samir Shakya Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal
  • Romila Chimoriya Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal
  • Shovit Thapa Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal
  • Sanjeev Thapa Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal
  • Bhawani Manandhar Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal
  • Vijay Yadav Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal
  • Rajaram Khanal Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal
  • Smriti Shakya Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal
  • Ratna Mani Gajurel Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal

DOI:

https://doi.org/10.3126/nhj.v22i2.85800

Keywords:

Blunt chest trauma, Coronary artery dissection, Percutaneous coronary intervention, Coronary artery bypass grafting, Ventricular tachycardia

Abstract

Background: Coronary artery dissection is a rare and life-threatening event resulting after blunt trauma especially in setting of high-speed motor vehicle collision. It can result in acute coronary syndrome due to subsequent thrombus formation, propagation of dissection, and total occlusion of coronary artery.

Case: A thirty-year-old male sustained high speed motorbike collision resulting in closed right sub-trochanteric fracture and right mid clavicle fracture. While being evaluated for surgery, he developed heart failure and further cardiac evaluation was done. Coronary computed tomography angiography was done which revealed dissection of proximal left anterior descending artery and percutaneous coronary intervention (PCI) was attempted in view of refractory ventricular tachycardia. After unsuccessful PCI, off-pump coronary artery bypass grafting was done with successful revascularization and electrical stabilization.

Conclusion: This highlights the importance of considering coronary artery dissection in patients with blunt chest trauma.

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Published

2025-10-30

How to Cite

Upreti, D., Poudel, C. M., Shrestha, H., Devkota, S., Shakya, S., Chimoriya, R., … Gajurel, R. M. (2025). Blunt Traumatic Left Anterior Descending Artery Dissection. Nepalese Heart Journal, 22(2), 79–81. https://doi.org/10.3126/nhj.v22i2.85800

Issue

Vol. 22 No. 2 (2025)

Section

Case Reports

License

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