{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:09Z","timestamp":1753877229999,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,2,13]],"date-time":"2022-02-13T00:00:00Z","timestamp":1644710400000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["F30CA236031"],"award-info":[{"award-number":["F30CA236031"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The presentation of blunt cardiac injuries (BCIs) following thoracic trauma is extremely varied, classically affecting the right-sided chambers of the heart. In extremely rare cases, BCIs can affect the coronary arteries. Diagnosing a traumatic coronary dissection can be challenging, as not only is presentation highly variable, but dissections are often masked by concomitant injuries. Here, we present the unusual case of a patient presenting to the emergency department following blunt thoracic trauma from an automobile accident. He demonstrated diffuse S and T wave segment elevations on electrocardiogram, and coronary angiography was significant for occlusion of the apical left anterior descending artery and stenosis of the second obtuse marginal artery. The patient was diagnosed with a BCI causing a left-sided coronary artery dissection. This serves as an important reminder that BCIs can manifest in any part of the cardiac anatomy, and should be considered in any patient with a history of thoracic trauma.<\/jats:p>","DOI":"10.1093\/jscr\/rjac008","type":"journal-article","created":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T12:13:23Z","timestamp":1643890403000},"source":"Crossref","is-referenced-by-count":0,"title":["Blunt cardiac injury presenting as a left-sided coronary artery dissection"],"prefix":"10.1093","volume":"2022","author":[{"given":"Alex","family":"Park","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4355-6597","authenticated-orcid":false,"given":"Daniel R","family":"Principe","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA"},{"name":"Medical Scientist Training Program, University of Illinois College of Medicine, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,2,11]]},"reference":[{"key":"2022021300464209000_ref1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/S0749-0704(03)00092-7","article-title":"Blunt cardiac injury","volume":"20","author":"Schultz","year":"2004","journal-title":"Crit Care Clin"},{"key":"2022021300464209000_ref2","article-title":"A rare case of traumatic coronary artery dissection after a motor vehicle collision","volume":"11","author":"Elgendy","year":"2019","journal-title":"Cureus"},{"key":"2022021300464209000_ref3","article-title":"Traumatic right coronary artery dissection as a cause of inferior wall ST-elevation myocardial infarction","volume":"12","author":"Vyas","year":"2020","journal-title":"Cureus"},{"key":"2022021300464209000_ref4","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1002\/clc.4960210108","article-title":"Immunosuppressive therapy for peripartum-type spontaneous coronary artery dissection: case report and review","volume":"21","author":"Koller","year":"1998","journal-title":"Clin Cardiol"},{"key":"2022021300464209000_ref5","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1136\/hrt.75.5.451","article-title":"Spontaneous coronary artery dissection: a neglected cause of acute myocardial ischaemia and sudden death","volume":"75","author":"Basso","year":"1996","journal-title":"Heart"},{"key":"2022021300464209000_ref6","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/1749-7922-4-14","article-title":"Coronary artery dissection and acute myocardial infarction following blunt chest trauma","volume":"4","author":"Bjornstad","year":"2009","journal-title":"World J Emerg Surg"},{"key":"2022021300464209000_ref7","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1007\/s00392-002-0857-4","article-title":"Spontaneous coronary artery dissection as a rare cause of an acute coronary syndrome","volume":"91","author":"Maeder","year":"2002","journal-title":"Z Kardiol"},{"key":"2022021300464209000_ref8","first-page":"183","article-title":"Long-term follow-up after acute myocardial infarct cause by non-arteriosclerotic spontaneous coronary artery dissection","volume":"85","author":"Strick","year":"1996","journal-title":"Z Kardiol"},{"key":"2022021300464209000_ref9","first-page":"87","article-title":"Spontaneous coronary artery dissection presenting as acute myocardial infarction","volume":"92","author":"Mahenthiran","year":"2000","journal-title":"J Natl Med Assoc"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/2\/rjac008\/42496935\/rjac008.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/2\/rjac008\/42496935\/rjac008.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,13]],"date-time":"2022-02-13T00:46:51Z","timestamp":1644713211000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjac008\/6526720"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,1]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjac008","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2022,2]]},"published":{"date-parts":[[2022,2,1]]},"article-number":"rjac008"}}