Zusammenfassung
Wenige Stunden nach einem stumpfen Thoraxtrauma entwickelte sich bei einem jugendlichen Patienten ein letal verlaufender Vorderwandinfarkt. Die Obduktion ergab als Ursache der Infarzierung ein ausgedehntes Wandhämatom im Anfangsteil des Ramus interventricularis anterior, das offenbar zu einer kritischen Beeinträchtigung der Koronarzirkulation geführt hat. Die Kasuistik zeigt, daß sich auch bei Jugendlichen ohne präexistente Koronarsklerose nach stumpfen Traumen ein Myokardinfarkt infolge einer gestōrten Koronarperfusion entwickeln kann.
Summary
Few hours after a blunt chest trauma a lethal acute anterior wall infarction occured in a juvenile man. The cause, a large haematoma in the first third of the LAD, evidently causing a critical obstruction of the vessel, was revealed by the post-mortem examination. As this case report shows a myocardial infarction after a blunt chest trauma due to a wall haematoma of a cononary vessel can even occur in juveniles without pre-existent coronary artery sclerosis.
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Literatur
Borodkin, H. D., Franklin, O.: Myocardial Trauma Produced by Nonpenetrating Chest Injury. Am. Heart J. 53, 795 (1957).
Cohn, P. F., Braunwald, E.: Traumatic Heart Disease. In: Heart Disease: A Textbook of Cardiovascular Medicine. Hrsg.: E. Braunwald, W. B. Saunders, Philadelphia 1980.
Committee on Trauma and Committee on Shock: Accidental Death and Disability: The Neglected Diseases of Modern Society. National Academy of Sciences, p. 5. Washington D. C. 1965.
Fletcher, A. M., Seward, J. B., Gersh, B. J., Tajik, A. J., Mucha, P.: Two-Dimensional Echocardiographic Findings in Cardiac Trauma. Am. J. Cardiol. 50, 1022 (1982).
Harthorne, J. W., Kantrowitz, P. A., Dinsmore, R. E., Sanders, A.: Traumatic Myocardial Infarction. Report of a Case with Normal Coronary Angiogram. Ann. Intern. Med. 66, 341 (1967).
Jackson, D. H., Murphy, G. W.: Nonpenetrating Cardiac Trauma. Mod. Conc. Cardiovasc. Dis. 45, 123 (1976).
Jenkins, J. L., Nishimura, A.: Coronary Artery Obstruction and Myocardial Infarction Resulting from Nonpenetrating Chest Trauma. Texas Med. 71, 78 (1975).
Jones, L.: Transmural Myocardial Necrosis after Nonpenetrating Cardiac Trauma. Am. J. Cardiol. 26, 419 (1970).
Kennedy, W. J., Sridharan, M. R., Flowers, N. C.: Nonpenetrating Traumatic Complete Heart Block and Myocardial Infarction with Normal Coronaries. Cath. Cardiovasc. Diagn. 9, 63 (1983).
Lehmus, H. J., Sundquist, A. B., Giddings, L. W.: Coronary Thrombosis with Myocardial Infarction Secondary to Nonpenetrating Injury of Chest Wall. Am. Heart J. 47, 470 (1954).
Liedtke, A. J., DeMuth, W. E.: Nonpenetrating Cardiac Injuries: A Collective Review. Am. Heart J. 86, 687 (1973).
Meessen, H.: Pathologisch-Anatomische Befunde bei Herztraumen. Langenbecks Archiv. Clin. Chir. 282, 288 (1955).
Oliva, P. B., Hilgenberg, A., McElroy, D.: Obstruction of the Proximal Right Coronary Artery with Acute Inferior Infarction Due to Blunt Chest Trauma. Ann. Intern. Med. 91, 205 (1979).
Oren, A., Bar-Shlomo, B., Stern, S.: Acute Coronary Occlusion Following Blunt Injury to the Chest in the Absence of Coronary Arterosclerosis. Am. Heart J. 92 501 (1976).
Parmley, L. F., Manion, W. C., Mattingly, T. W.: Nonpenetrating Traumatic Injury of the Heart. Circ. 18, 371 (1958).
Rosenkranz, K. A.: Die traumatische Herzschädigung. Gebr. Giulini GmbH, Ludwigshafen 1970.
Symbas, P. N.: Cardiac Trauma. Am. Heart J. 92, 387 (1976).
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Brandt, D., Weybora, W. & Rigler, B. Myokardinfarkt nach stumpfem Thoraxtrauma. Acta Chir Austriaca 16, 61–64 (1984). https://doi.org/10.1007/BF02656210
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DOI: https://doi.org/10.1007/BF02656210