Korean Circ J.  2011 Aug;41(8):486-489. 10.4070/kcj.2011.41.8.486.

A Case of Distal Embolization of Left Ventricular Thrombus due to Blunt Chest Trauma-Induced Coronary Artery Occlusion

• Kim JH
• Kang TS

• KMID: 1826359
• DOI: http://doi.org/10.4070/kcj.2011.41.8.486

Abstract

Chest trauma can lead to various cardiac complications ranging from simple arrhythmias to myocardial rupture. A variety of injuries to the coronary arteries, including laceration, thrombosis, intimal dissection, arteriovenous fistula and pseudoaneurysm formation following blunt trauma have been rarely reported. We report a very unusual case of distal embolization of left ventricular thrombus due to blunt chest trauma-induced coronary artery occlusion.

Keyword

Coronary occlusion; Trauma; Embolism; Myocardial infarction; Heart aneurysm

MeSH Terms

Aneurysm, False
Arrhythmias, Cardiac
Arteriovenous Fistula
Coronary Occlusion
Coronary Vessels
Embolism
Heart Aneurysm
Lacerations
Myocardial Infarction
Rupture
Thorax
Thrombosis

Figure

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  Fig. 1 Electrocardiography showed poor R wave progression and ischemic T wave abnormality in leads V2-V5.

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  Fig. 2 Peripheral angiography showed total occlusion of the left popliteal artery (arrow).

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  Fig. 3 Echocardiography (A) and MRI (B, arrow) showed a left ventricular thrombus measuring 3.98×1.74 cm in size.

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  Fig. 4 Coronary angiography showed total occlusion of the LAD (A) and collateral flow from the posterior descending artery to the LAD was noted (B). LAD: left anterior descending artery.

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  Fig. 5 Pathological specimens of the left ventricular thrombus after left ventricular thrombectomy. The pathologic diagnosis was fibrinous blood clots.

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