Abstract
We report for the first time a case of a 54 years old man with a fatal motorcycle accident due to an external bleeding compression of left internal mammary artery graft to the left anterior descending artery. The possibility of cardiac failure in trauma caused by external compression or traumatic injury of the graft should be considered in people who previously underwent coronary artery bypass graft surgery.
Highlights
External compression of the left internal mammary artery (LIMA) or traumatic injury to this graft should be considered as a possible cause of myocardial infarction in people, who previously underwent coronary artery bypass graft (CABG) surgery
We report for the first time a case of a 54 years old man with a fatal motorcycle accident due to an external bleeding compression of left internal mammary artery graft to the left anterior descending artery
The possibility of cardiac failure in trauma caused by external compression or traumatic injury of the graft should be considered in people who previously underwent coronary artery bypass graft surgery
Summary
External compression of the left internal mammary artery (LIMA) or traumatic injury to this graft should be considered as a possible cause of myocardial infarction in people, who previously underwent coronary artery bypass graft (CABG) surgery. This case is the first of which we are aware in which a motorcyclist dies after an accident, because of external bleeding compression of a LIMA-graft. Case presentation A 54 years old Danish motorcyclist collided with a car at full speed He was transferred to the trauma centre after initial stabilisation by advanced trauma life support principles including at the scene intubation. After initial stabilization further bleeding elsewhere was excluded by computer tomography (CT) contrast scan This trauma CT-scan confirmed that the haematoma above the left clavicle, haemothorax in the apical side of the left lung and a 3 cm dislocation of the left sterno-clavicular articulation. Fractures of left ribs (1-4 ribs) were found as well as severe dislocation of the left sterno-clavicular joint
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