A Shock to the Heart and a Bullet Is to Blame: STEMI Due to Penetrating Chest Injury
Saturday, September 19, 2020
9:00 AM – 11:00 AM
Overview: This is a rare presentation of STEMI. A 28 years old male sustained penetrating chest trauma was found to have ST elevation in the EKG, and regional wall motion abnormality in the echocardiogram compatible with LAD territory. Coronary angiogram showed totally occluded LAD, with no evidence of atherosclerotic disease in the coronaries. He underwent drug elluting stent with restoration of TIMI 3 flow. The reason was believed to be endothelial injury due to the shock from the bullet traveling close to the LAD, with subsequent thrombosis and occlusion of LAD.