TRAUMA INDUCED MYOCARDIAL INFARCTION: A CLINICAL CASE

Abstract

Traumatic injury of the coronary arteries with the development of myocardial infarction is often caused by arterial
dissection, while about 10% of patients may have atherothrombosis. At the same time, coronary atherosclerosis can act as
one of the triggering factors.
Patient A, 52 years old, was urgently admitted to the Emergency Hospital after a road traffic accident (RTA). Based on
the given clinical data, an acute coronary syndrome is suspected, its traumatic genesis was not excluded. However, the
usual patient management strategy in this case was not applicable because of blunt abdominal trauma with internal bleeding.
A hybrid operation was decided, the first stage of which included coronary angiography, followed by selective angiography of
the celiac trunk to determine further tactics.
As a result of the hybrid intervention and medication therapy, the patient was discharged on the 8th day in a satisfactory
condition.