{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:06:50Z","timestamp":1755907610842,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,8,4]]},"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>A well mid-30s man suffered a ventricular fibrillation arrest following blunt chest trauma while playing football. Development of anterior Q waves on ECG, troponin elevation &gt;50\u2009000\u2009ng\/L, recurrent non-sustained ventricular arrhythmias and transthoracic echocardiogram showing regional wall motion abnormality prompted diagnostic angiography. Intravascular ultrasound identified a proximally occluded LAD and dissection flap with associated haematoma, suggestive of traumatic dissection. Management included a drug-eluting stent, dual antiplatelet therapy and guideline-directed heart failure therapy. Recognition of traumatic coronary artery dissection as a differential in patients experiencing chest trauma is important to prevent diagnostic delay, which may result in poor and potentially fatal outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2023-259387","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T10:45:25Z","timestamp":1755859525000},"page":"e259387","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic coronary artery dissection: an unusual cause of cardiac arrest"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0548-5807","authenticated-orcid":false,"given":"Tess","family":"Aitken","sequence":"first","affiliation":[{"name":"Cardiology, The Royal Melbourne Hospital, Parkville, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danlu","family":"Liang","sequence":"additional","affiliation":[{"name":"Cardiology, The Royal Melbourne Hospital, Parkville, Victoria, Australia"},{"name":"University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harsh V","family":"Thakkar","sequence":"additional","affiliation":[{"name":"Cardiology, The Royal Melbourne Hospital, Parkville, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravindran","family":"Iyer","sequence":"additional","affiliation":[{"name":"Cardiology, The Royal Melbourne Hospital, Parkville, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"2025082203451683000_18.8.e259387.1","doi-asserted-by":"crossref","DOI":"10.1016\/j.tcr.2021.100594","article-title":"Blunt traumatic coronary artery dissection: A case study","volume":"37","author":"Blevins","year":"2022","journal-title":"Trauma Case Rep"},{"key":"2025082203451683000_18.8.e259387.2","doi-asserted-by":"crossref","first-page":"S276","DOI":"10.1016\/j.ihj.2016.07.022","article-title":"Blunt traumatic dissection of right coronary artery presenting with acute inferior wall myocardial infarction: Dilemma in management","volume":"68","author":"Pande","year":"2016","journal-title":"Indian Heart J Teach Ser"},{"key":"2025082203451683000_18.8.e259387.3","doi-asserted-by":"crossref","first-page":"e239","DOI":"10.1016\/j.jemermed.2010.04.019","article-title":"Traumatic coronary artery dissection: a case report and literature review","volume":"43","author":"Lobay","year":"2012","journal-title":"J Emerg Med"},{"key":"2025082203451683000_18.8.e259387.4","first-page":"1171","article-title":"The Role of IVUS in Coronary Complications","volume":"105","author":"Ugo","year":"2025","journal-title":"Catheter Cardiovasc Interv"},{"key":"2025082203451683000_18.8.e259387.5","doi-asserted-by":"crossref","first-page":"41","DOI":"10.2174\/1573403X16666200702121937","article-title":"Conduction Disorders in the Setting of Acute STEMI","volume":"17","author":"Nikus","year":"2021","journal-title":"Curr Cardiol Rev"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-259387","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T10:45:26Z","timestamp":1755859526000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-259387"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":5,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025,8,22]]},"published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1136\/bcr-2023-259387"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-259387","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]}}}