Blunt-chest-trauma-induced acute myocardial infarction

Kumar, Senthil; Bansal, Yogender Singh; Mehta, Nikhil; Nada, Ritambhra; Girdhar, Pulkit; Vishwajeet, Vikarn

doi:10.4322/acr.2021.263

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Sumário

Autopsy Case Report and Review • Autops. Case Rep. 11 • 2021 • https://doi.org/10.4322/acr.2021.263 copy

Blunt-chest-trauma-induced acute myocardial infarction

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Blunt chest trauma (BCT) is one of the rarest causes of acute myocardial infarction (AMI). This paper reports the case of a young married man who suffered from AMI due to BCT sustained in a fight with his wife. The histopathology examination revealed a rupture of atherosclerotic plaque with superimposed thrombus in the proximal left anterior descending artery. This report also reviews previously reported BCT-induced AMI cases in the literature.

Keywords
Thoracic Injuries; Atherosclerotic Plaque; Coronary Thrombosis; Myocardial Infarction; Morphological and Microscopic Findings

Case reports	Age/sex	Mode of chest injury	Angina	history/risk factors of CAD	Outcome	Coronary artery & pathology
Moore¹¹11 Moore JE. Acute apical myocardial infarction after blunt chest trauma incurred during a basketball game. J Am Board Fam Pract. 2001;14(3):219-22. PMid:11355055.	30/M	Sports injury	+	Nil	Survived	LAD—Intimal dissection with thrombus
Vasudevan et al.¹²12 Vasudevan AR, Kabinoff GS, Keltz TN, Gitler B. Blunt chest trauma producing acute myocardial infarction in a rugby player. Lancet. 2003;362(9381):370. http://dx.doi.org/10.1016/S0140-6736(03)14024-X. PMid:12907010. http://dx.doi.org/10.1016/S0140-6736(03)...	21/M	Sports injury	+	IDDM 8 years	Survived	LAD—Dissection
Lai et al.¹³13 Lai CH, Ma T, Chang TC, Chang MH, Chou P, Jong GP. A case of blunt chest trauma induced acute myocardial infarction involving two vessels. Int Heart J. 2006;47(4):639-43. http://dx.doi.org/10.1536/ihj.47.639. PMid:16960418. http://dx.doi.org/10.1536/ihj.47.639...	36/M	BCT	+	Nil	Survived	LAD and LCX—Dissection with thrombus
Janella et al.⁹9 Janella BL, Pinto RJ, Pena HP, Carneiro JG, Sousa MR, Andrade MA Jr. Acute myocardial infarction related to blunt thoracic trauma. Arq Bras Cardiol. 2006;87(6):e239-42. http://dx.doi.org/10.1590/S0066-782X2006001900021. PMid:17262093. http://dx.doi.org/10.1590/S0066-782X2006...	31/M	Sports injury	+	Nil	Survived	LAD—Thrombus
Janella et al.⁹9 Janella BL, Pinto RJ, Pena HP, Carneiro JG, Sousa MR, Andrade MA Jr. Acute myocardial infarction related to blunt thoracic trauma. Arq Bras Cardiol. 2006;87(6):e239-42. http://dx.doi.org/10.1590/S0066-782X2006001900021. PMid:17262093. http://dx.doi.org/10.1590/S0066-782X2006...	44/M	RTA	+	Nil	Survived	LAD—Aneurysm
Sharma¹⁴14 Sharma A. Case report acute myocardial infarction related to blunt thoracic trauma: review of literature with two case reports. J Indian Acad Forensic Med. 2010;32:165.	25/M	RTA	-	Nil	Brought dead	LAD—85% block
Sharma¹⁴14 Sharma A. Case report acute myocardial infarction related to blunt thoracic trauma: review of literature with two case reports. J Indian Acad Forensic Med. 2010;32:165.	55/M	Assault	-	Nil	Brought dead	LAD—95% block
Kul et al.¹⁵15 Kul Ş, Akyol A, Aşker M, et al. A rare cause of myocardial infarction: blunt chest trauma. East J Med. 2015;20(4):228.	34/M	Assault	+	cigarette smoker	Survived	LAD and LCX—Dissection with thrombus
Lolay and Abdel-Latif⁷7 Morrow DA, Cannon CP, Jesse RL, et al. National Academy of Clinical Biochemistry Laboratory Medicine Practice Guidelines: clinical characteristics and utilization of biochemical markers in acute coronary syndromes. Clin Chem. 2007;53(4):552-74. http://dx.doi.org/10.1373/clinchem.2006.084194. PMid:17384001. http://dx.doi.org/10.1373/clinchem.2006....	32/M	Sports injury	+	Nil	Survived	RCA—Dissection with thrombus
Abdolrahimi et al.¹⁶16 Abdolrahimi SA, Sanati HR, Ansari-Ramandi MM, Heris SO, Maadani M. Acute myocardial infarction following blunt chest trauma and coronary artery dissection. J Clin Diagn Res. 2016;10(6):OD14-5. http://dx.doi.org/10.7860/JCDR/2016/19043.7994. PMid:27504338. http://dx.doi.org/10.7860/JCDR/2016/1904...	37/M	RTA	+	Nil	Survived	Proximal part of LAD and RCA dissection
Mubang et al.¹⁷17 Mubang RN, Hillman Terzian WT, Cipolla J, Keeney S, Lukaszczyk JJ, Stawicki SP. Acute myocardial infarction following right coronary artery dissection due to blunt trauma. Heart Views. 2016;17(1):35-8. http://dx.doi.org/10.4103/1995-705X.182646. PMid:27293529. http://dx.doi.org/10.4103/1995-705X.1826...	25/M	RTA	-	drug abuse	Survived	RCA—Dissection
Sinha et al.¹⁸18 Sinha A, Sibel M, Thomas P, et al. Coronary thrombosis without dissection following blunt trauma. Case Rep Cardiol. 2016;2016:8671015. http://dx.doi.org/10.1155/2016/8671015. PMid:27006836. http://dx.doi.org/10.1155/2016/8671015...	25/F	Kicked by horse	+	Nil	Survived	LAD—Thrombus
Ngam et al.¹⁹19 Ngam PI, Ong CC, Koo CC, Loh PH, Loo LM, Teo LL. An unexpected cause of trauma-related myocardial infarction: multimodality assessment of right coronary artery dissection. Ann Acad Med Singapore. 2018;47(7):269-71. PMid:30120437.	28/M	RTA	-	N/A	Survived	Proximal RCA dissection
Guo et al.²⁰20 Guo X, Wang X, Zhang X, Ahmed AO, Hsi DH, Zhang D. Acute myocardial infarction after blunt chest wall trauma with underlying coronary aneurysm: a case report. BMC Cardiovasc Disord. 2018;18(1):118. http://dx.doi.org/10.1186/s12872-018-0861-x. PMid:29914384. http://dx.doi.org/10.1186/s12872-018-086...	20/F	Sports injury	+	KD + CA	Survived	LAD—Aneurysms with thrombus
Allemeersch et al.²¹21 Allemeersch GJ, Muylaert C, Nieboer K. Traumatic coronary artery dissection with secondary acute myocardial infarction after blunt thoracic trauma. J Belg Soc Radiol. 2018;102(1):4. http://dx.doi.org/10.5334/jbr-btr.1379. PMid:30128419. http://dx.doi.org/10.5334/jbr-btr.1379...	41/M	RTA	-	N/A	Died	LAD—Thrombus
Fujiwara et al.²²22 Fujiwara K, Ohsaka H, Madokoro S, Yanagawa Y. Fatal acute myocardial infarction after multiple blunt injuries involving the chest. JETS. 2018;11(3):230-2. PMid:30429635.	60/M	Fall	+	Nil	Died	LAD—Thrombus
Elsayed²³23 Elsayed YM. Blunt chest trauma induced myocardial infarction with suggested coronary vasospasm. Egypt J Crit Care Med. 2018;6(2):57-9. http://dx.doi.org/10.1016/j.ejccm.2018.05.001. http://dx.doi.org/10.1016/j.ejccm.2018.0...	50/M	chest hit by strong blow	+	Heavy smoker	Survived	RCA—90% atherosclerotic occlusion

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[1] Authors’ contributions: The manuscript was written, reviewed, and approved by all the authors collectively. Senthil Kumar conducted the autopsy and declared the final cause of death by interpreting the findings collectively. Ritambhra Nada and Vikarn Vishwajeet reported the histopathological findings. Yogender Singh Bansal had critically reviewed and interpreted the forensic and histopathological findings. Nikhil Mehta and Pulkit Girdhar had critically reviewed the literature for similar kind of case reports.