0
Articles |

Circumflex Coronary Artery Dissection Following Waterskiing

Jeffrey Greenberg; Michael Salinger; Frank Weschler; Brian Edelman; Randall Williams
Author and Funding Information

From the Evanston Hospital Department of Cardiology, Evanston, Ill.


1998 by the American College of Chest Physicians


Chest. 1998;113(4):1138-1140. doi:10.1378/chest.113.4.1138
Text Size: A A A
Published online

Abstract

A previously healthy 35-year-old woman experienced chest discomfort following mild blunt chest trauma while waterskiing. During the following 48 h, she underwent evaluation in two separate emergency departments (EDs) where she was found to have normal ECGs and cardiac enzyme values. She was subsequently discharged from both EDs. Twelve hours after the second ED visit, she was discovered unconscious at home and was resuscitated from ventricular fibrillation. Emergency cardiac catheterization demonstrated moderate circumflex disease without angiographic evidence of a false lumen or intimal flap. Left ventriculography demonstrated posterolateral wall hypokinesis. Eight days after remaining ventilator-dependent and unconscious, the patient was declared brain-dead. At autopsy, the patient was found to have a dissection of the circumflex artery. Waterskiing is an unusual source of cardiac trauma; however, we believe this to be the first reported case of dissection in the circumflex artery following blunt chest trauma.


Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543