Electric Shock–Induced Coronary Artery Thrombosis and Dissection

Publication date: Available online 17 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Samuel Jacob, Erol V. BelliAbstractElectric shock–induced myocardial infarction is rare. Shock-induced coronary artery thrombosis and dissection in multiple distributions have not been reported. After shock, coronary thrombosis may cause anginal symptoms, and any coronary artery may be damaged. A 32-year-old man presented with angina and ischemia-related symptoms post 6,000-V electric shock. He reported occasional exertional angina; stress echocardiography was positive for ischemia. Catheterization showed severe multivessel disease, occluded left anterior descending coronary artery, and occluded circumflex with collateralization to distal left anterior descending coronary artery. Surgical intervention detected global coronary dissection and thrombosis. Bypass grafting achieved complete revascularization. Patient was successfully discharged home.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research