Delayed and spontaneous coronary artery rupture following nonpenetrating chest trauma

Occurrence of a saccular pseudoaneurysm formation two weeks after perforation of the left anterior descending coronary artery during balloon angioplasty in acute myocardial infarction

“…Only in very few cases perforation of coronary artery is caused by spontaneous rupture of an atheromatous plaque in coronary artery disease [1], rupture of true coronary aneurysms [2,3], or by penetrating [4] and nonpenetrating chest trauma like closed-chest cardiac resuscitation [5][6][7]. Much more cases of coronary perforation or rupture have been reported occurring during percutaneous transluminal coronary angioplasty in up to 0.4% [8][9][10][11][12].…”

Primary stenting in acute myocardial infarction secondary to right coronary artery dissection following blunt chest trauma. Usefulness of intracoronary ultrasound

“…Other authors advocate conservative management in absence of ongoing ischaemia, due to the possibility of spontaneous healing of coronary tear [10]. However, coronary stenting, has been performed in some cases [6], because although complete healing of these lesions may occur, some patients may develop aneurysmal disease or late coronary occlusion as a result of progression of intimal disruption with dissection [11,12]. Thrombolysis in this scenario is usually contraindicated, because of the presence of multiple injuries and fractures, and its possible deleterious effect over coronary dissection itself [13].…”

Perforation und Ruptur von Koronararterien

“…B e i P a t i e n t e n m i t k o n g e n i t a l e n St/Srungen d e r K o l l a g e n s y n t h e s e s i n d s p o n t a n e K o r on a r r u p t u r e n mt)glich[25]. A l s s e l t e n e U r s a c h e e i n e u r y s m e n m i t u n d o h n e R u p t u r k / S n n e n e b e n f a l l s als K o m p l i k a t i o n n a c h s t u m p f e m T h o r a x t r a u m a auft r e t e n[9,49].…”