Multimodality imaging of coronary artery dissection and cardiac contusion after blunt chest trauma

Abstract

A 77-year-old male presented with chest pain, 3 weeks after a blunt chest trauma caused by a horse kick. Three months earlier, he underwent aortic valve replacement and a single arterial coronary bypass graft on the circumflex artery. Physical examination was normal, except for a large haematoma on the chest ( Panel E ). Coronary angiography revealed a 90% stenosis on the proximal part of the left anterior descending artery (LAD) ( Panel A ). Of note, the LAD …