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 |