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Eur J Cardiothorac Surg 2007;31:320-321. doi:10.1016/j.ejcts.2006.11.019
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case report

Mediastinal hematoma and left main dissection following blunt chest trauma

Yu-Yun Nan, Jen-Ping Chang, Ming-Shian Lu, Chiung-Lun Kao*

Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital at Chiayi, Chang Gung Institute of Technology, Taiwan, ROC

Received 13 August 2006; received in revised form 31 October 2006; accepted 14 November 2006.

* Corresponding author. Address: Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital at Chiayi, 6 Sec. West, Chia Pu Road, Putzu City, Chiayi Hsien, Taiwan 613, ROC. Tel.: +886 5 3621000; fax: +886 5 3623002. (Email: sa11421{at}adm.cgmh.org.tw).

A 40-year-old man sustained blunt chest trauma resulting in sternal fracture, mediastinal hematoma, and dissection of the left main coronary artery. Because of associated injury, the coronary angiogram was performed 7 days after the accident and off-pump coronary bypass surgery was performed immediately. Two months later, follow-up angiogram revealed completely healed left main dissection. The patient continues to do well 4 months postoperatively.

Key Words: Coronary artery disease • Nonpenetrating wounds • Heart injuries






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.