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Table 2 Review of reported coronary artery dissections, treatment strategies, and outcomes

From: Dissection of the left main coronary artery after blunt thoracic trauma: Case report and literature review

Author/Journal

Patient age/sex

Mechanism

Injury

Treatment

Outcome

Redondo, et al [11]

Am J Emerg Surg, 2009

45 yo F

Motor vehicle collision

LMCA-focal stenotic dissection; RCA dissection

Angioplasty and heparin

Death secondary to intra-abdominal hemorrhage

Goyal, et al. [12]

Heart, 2009

47 yo M

Motor vehicle collision

LMCA extending to LAD dissection

Unknown (no thrombolytics)

unknown

Harada, et al. [8]

Ann Thorac Surg, 2002

14 yo M

Motorcycle collision

LMCA dissection with left ventricular aneurysm

Supportive care with surgical patch angioplasty and anuerysmectomy, mitral valvuloplasty and tricuspid annuloplasty 3 weeks later

Discharge to home; doing well 4 years post-operatively

Cini, et al [15]

Interact Cardiovasc Thorac Surg, 2008

43 yo F

Spontaneous

LMCA dissection

Surgical revascularization

Discharge home

Rogers, et al

Clin Cardiol, 2007

37 yo F

(post-partum)

Spontaneous

LMCA with LAD involvement

Surgical revascularization

Discharge home

Hazeleger, et al. [5]

Circulation, 2001

29 yo M

Tackled in football 2 months prior to arrival

LAD dissection; OM dissection

Stent

Discharge home

Smayra, et al. [10]

Am J Thorac Cardiovasc Surg, 2007

17 yo M

Unrestrained motor vehicle collision 1 month prior to symptoms

LAD dissection

Surgical revascularization

Discharge home

Korach, et al [9]

Interact Cardiovasc Thorac Surg, 2008

40 yo M

Pedestrian struck by automobile

LAD dissection

Surgical revascularization

Discharge home

Leong & Brown [7]

Emerg Med J, 2006

50 yo M

Motorcycle collision

LAD dissection

Bare metal stent + angioplasty after thrombosis

Discharge home

Boland, et al. [13]

Chest, 1988

32 yo F

Motor vehicle collision at 15 mph 3 days prior to admission

LAD & LCx dissection

Surgical revascularization

Discharge home

Vogiatzis, et al. [16]

Hellenic J Cardiol, 2010

31 yo F (pregnant)

Spontaneous

LCx dissection

Conservative treatment without revascularization

Discharge home

Greenberg, et al. [4]

Chest, 1998

35 yo F

Water-skiing 2 days prior to arrival

Circumflex artery dissection with moderate occlusion

Angiogram without intervention

Death due to brain death secondary to Vfib arrest prior to emergency department arrival

De Macedo, et al. [17]

J Invasive Cardiol, 2009

34 yo M

Spontaneous

RCA dissection

Stent, heparin, clopidogrel, tirofiban, aspirin

Discharge home

Hobelmann[6]

Emerg Med J, 2006

32 yo M

Elbow to chest in basketball

RCA dissection

Eptifibitide and heparin, stent X2

Discharge home

  1. Table 2 Abbreviations: LAD: left anterior descending artery; LCx: left circumflex artery; RCA: right coronary artery; LMCA: left main coronary artery; OM: obtuse marginal artery; Vfib: ventricular fibrillation