@article{ref1,
title="Right coronary artery occlusion secondary to blunt trauma",
journal="Clinical cardiology",
year="1994",
author="Shapiro, M. J. and Wittgen, C. and Flynn, M. S. and Zuckerman, D. A. and Durham, R. M. and Mazuski, J. E.",
volume="17",
number="3",
pages="157-159",
abstract="The heart lies in a vulnerable position when the chest is subjected to direct blunt trauma. Acute occlusion of a coronary artery from blunt chest trauma is rare, with occlusion of the right coronary artery at its origin recorded only twice in the English literature. A young male unrestrained driver sustained an acute deceleration injury with significant chest trauma when he crashed, crushing the steering wheel against his chest. Creatine phosphokinase isoenzymes were initially 2% of the total and 8% 12 h later. There were marked electrocardiographic changes, and an echocardiogram revealed abnormal left ventricular systolic function with an akinetic inferior-posterior wall and right ventricular enlargement. A wide mediastinum and mechanism of injury led to the performance of aortography which failed to disclose a right coronary vessel. Subsequently coronary angiography confirmed acute occlusion of the proximal right coronary artery. Because of other associated injuries, nonoperative medical management was successfully utilized.<p /><p>Language: en</p>",
language="en",
issn="0160-9289",
doi="",
url="http://dx.doi.org/"
}